疟疾根除国家易被遗忘的传染病：一个热带疟境外移入病例报告.docVIP

Hans Journal of Biomedicine 生物医学, 2012, 2, 11-14 /10.12677/hjbm.2012.21003 Published Online January 2012 (/journal/hjbm) An Easily Forgotten Disease in a Malaria-Eliminating Country: A Report of an Imported Case Bruno Man-Hon Cheung , Wen-Hung Lee , Chieh-Jen Wu , Pau-Tien Chen , Kuo-Kuan Chang 1* 2 3 4 5 1 2 3 4 5 Division of Infectious Diseases, Department of Internal Medicine, Tainan Municipal Hospital, Tainan Division of Endocrinology and Metabolism, Department of Internal Medicine, Tainan Municipal Hospital, Tainan Department of Clinical Laboratory, Tainan Municipal Hospital, Tainan Department of Medical Emergency, Tainan Municipal Hospital, Tainan Office of Superintendent, Tainan Municipal Hospital, Taiwan Email: mhcheung2005@ * Received: Oct. 19th, 2011; revised: Nov. 24th, 2011; accepted: Nov. 27th, 2011. Abstract: In countries where malaria is endemic, malaria is easily considered in the differential diagnosis for a patient presenting with fever. However, the diagnosis of malaria is easily forgotten in malaria-free or malaria-eliminating coun- tries. Herein, we report an imported case of Plasmodium falciparum infection. When the patient was febrile, a thick blood film examination revealed signet-ring form and earphone-like trophozoites in erythrocytes. After treatment with intravenous Artesunate, the patient recovered one week later. We learn that high clinical suspicion and correct diagnosis may lead to rapid recovery from Plasmodium falciparum infection. With the increase of international traveling, we should keep the diagnosis of malaria in mind if a foreigner from an endemic area develops fever, in order to prevent the disease spreading. Keywords: Malaria; Plasmodium falciparum; Imported; Arteminisin 疟疾根除国家易被遗忘的传染病：一个热带疟境外移入病例报告 张文瀚，李文宏，吴介仁，陈宝田，