武汉市1例输入性危重症恶性疟诊疗与流行病学调研  

EPIDEMIOLOGICAL INVESTIGATION OF A CASE OF IMPORTED FALCIPARUM MALARIA IN WUHAN

作　　者：赵瑞毓 罗莎 范合群 ZHAO Rui-yu;LUO Sha;FAN He-qun(Wuhan East Lake High-tech Development Zone Center for Disease Control and Prevention,Wuhan 430000,Hubei,China)

机构地区：[1]武汉东湖新技术开发区疾病预防控制中心,武汉430000

出　　处：《寄生虫与医学昆虫学报》2025年第1期44-47,共4页Acta Parasitologica et Medica Entomologica Sinica

摘　　要：武汉东湖新技术开发区疾病预防控制中心于2023年10月9日收到1例输入性疟疾报告。患者因“间断发热3 d伴意识障碍1 h”入院,家属代诉有非洲刚果金旅居史。入院经过疟原虫抗原检测快速诊断方法(RDT)以及外周血涂片镜检,检测到恶性疟原虫。结合流行病学、临床症状和实验室检测,诊断为危重症恶性疟,即刻进行规范抗疟治疗,治疗4 d后,外周血涂片镜检未见疟原虫,治疗效果显著,37 d后治愈出院。On October 9 th,2023,the Disease Control and Prevention Center of Donghu High Tech Zone in Wuhan City received a report of a case of imported malaria.The patient was admitted due to intermittent fever that had persisted for 3 days,accompanied by a 1 h consciousness disorder,and the family of the patient reported a recent history of travel to the Democratic Republic of Congo in Africa.Upon admission,the rapid diagnostic method(RDT)was used to test for malarial parasite antigens and peripheral blood smear microscopy was performed to detect the presence of malignant malaria parasites.On the basis of epidemiology,clinical symptoms,and laboratory testing,a diagnosis of severe malignant malaria was made,and immediate standardized anti-malarial treatment was accordingly administered.After 4 days of treatment,peripheral blood smear microscopy revealed no plasmodium parasites observed.After 37 days,the patient was recovered and discharged from the hospital.

关 键 词：恶性疟 危重症 治疗 

分 类 号：R382.31[医药卫生—医学寄生虫学]