Stanley J
Department of Emergency Medicine, University of Pennsylvania School of Medicine, Philadelphia, USA.
Emerg Med Clin North Am. 1997 Feb;15(1):113-55. doi: 10.1016/s0733-8627(05)70288-1.
The preeminent infectious threat to unwary tropical travelers, malaria is a preventable, mosquito-borne protozoan infection of red blood cells, which causes fever, anemia, respiratory failure, coma, and death. Malaria is a true medical emergency that requires rapid diagnosis and treatment. Unfortunately, in two thirds of tropical travelers who die of malaria, either treatment is delayed or the diagnosis is simply missed. Every tropical traveler with fever or unexplained, flu-like illness must be assumed to have life-threatening malaria and must have thick and thin blood smears immediately examined to confirm the diagnosis.
疟疾是对毫无防备的热带旅行者最为突出的感染威胁，它是一种可预防的、由蚊子传播的红细胞原生动物感染，会导致发热、贫血、呼吸衰竭、昏迷和死亡。疟疾是真正的医疗急症，需要迅速诊断和治疗。不幸的是，在三分之二死于疟疾的热带旅行者中，要么治疗被延误，要么根本没有做出诊断。每一位发热或患有不明原因的流感样疾病的热带旅行者都必须被假定患有危及生命的疟疾，必须立即对其进行厚薄血涂片检查以确诊。
