Unsuspected imported malaria in a case of sudden infant death  

作　　者：Teresa Pusiol Anna Maria Lavezzi Ferdinando Radice Graziella Alfonsi Luigi Matturri 

机构地区：[1]Institute of Anatomic Pathology,Rovereto Hospital,Rovereto (Trento) 38068,Italy [2]Department of Biomedical,Surgical and Dental Sciences,"Lino Rossi" Research Center,University of Milan,Milan 20122,Italy

出　　处：《World Journal of Clinical Infectious Diseases》2014年第2期5-8,共4页世界临床传染病学杂志

摘　　要：Here we describe the case of a 4-mo-old female who died suddenly without any apparent cause that was initially mistaken as a case of sudden infant death syndrome. Histologic observation of brain sections revealed blue-black bodies in erythrocytes of the blood vessels, suggestive of specific stages of the hematic schizogonic cycle. Further examinations revealed hemozoin and hemosiderin deposits in the parenchyma of all organs, leading to the diagnosis of malaria by Plasmodium falciparum(P. falciparum). The death occurred in Italy, the native country of the infant, two weeks after a Christmas holiday spent in Pakistan, the parents' birthplace, which has a high malarial endemicity. As this case demonstrates, the diagnosis of malaria should always be considered as a differential diagnosis in subjects, including infants, that die unexpectedly after returning from P. falciparum endemic areas.Here we describe the case of a 4-mo-old female who died suddenly without any apparent cause that was initially mistaken as a case of sudden infant death syndrome. Histologic observation of brain sections revealed blue-black bodies in erythrocytes of the blood vessels, suggestive of specific stages of the hematic schizogonic cycle. Further examinations revealed hemozoin and hemosiderin deposits in the parenchyma of all organs, leading to the diagnosis of malaria by Plasmodium falciparum(P. falciparum). The death occurred in Italy, the native country of the infant, two weeks after a Christmas holiday spent in Pakistan, the parents' birthplace, which has a high malarial endemicity. As this case demonstrates, the diagnosis of malaria should always be considered as a differential diagnosis in subjects, including infants, that die unexpectedly after returning from P. falciparum endemic areas.

关 键 词：PARASITEMIA PLASMODIUM FALCIPARUM PROTOZOA SUDDEN infant death Unsuspected IMPORTED malaria 

分 类 号：R[医药卫生]