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输入性长潜伏期间日疟1例报道

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目的 提高临床医生对长潜伏期间日疟的关注度,避免长潜伏期疟疾病例的误诊或漏诊,为及时治疗疟疾病例和处置疟疾疫点提供依据,以持续巩固疟疾消除成果.方法 对2024年2月14日大理大学第一附属医院报告的1例输入性间日疟的外出中缅边境史及诊疗情况进行调查,计算其潜伏期,分析延迟诊断原因.结果 输入性间日疟病例高某某潜伏期长达307~312d;患者本人及家属、接诊的临床医生均未考虑患疟疾的可能性,临床医生也未主动开具疟疾检测申请单;确诊后,给予患者"氯伯八日"抗疟治疗.给予抗疟治疗后,患者当日体温开始下降,服药第3 d体温降至正常,病情无反复.结论 输入性间日疟病例存在少见的长潜伏期现象,易被临床医生忽视而引起误诊或漏诊.
A case report of imported long-latency vivax malaria
Objective To increase the attention of clinicians to long-latency vivax malaria,to avoid misdiagnosis or missed diagnosis of long-latency malaria cases,to provide basis for timely treatment of malaria cases and treatment of malaria epidemic sites,and to continuously consolidate the achievements of malaria elimination.Methods An investigation was conducted about the history of travel to the China-Myanmar border and diagnosis and treatment of a case of imported vivax malaria reported by the First Affiliated Hospital of Dali University on February 14,2024.Its incubation period was calculated and the reasons for delayed diagnosis were analyzed.Results The incubation period of this imported vivax malaria case(Gao)was 307-312 days.The patient himself,his family members,and clinicians on attendance did not consider the possibility of malaria,and the clinicians also did not proactively issue a malaria testing application form.After diagnosis,the patient was given the"chloroquine and primaquine 8-day treatment"antimalarial treatment.After the antimalarial treatment,the patient's body temperature began to drop on the same day,and the body temperature dropped to normal on the third day of medication without recurrence.Conclusions Imported vivax malaria cases have a rare long incubation period,which is easy to be ignored by clinicians and lead to misdiagnosis or missed diagnosis.

imported malarialong incubation periodvivax malaria

李雪梅、柯春荣、瞿艳、丁家琴、杨晓龙、余杰、段晓姜、左丽娟、段炳华、杨晖、杨晓虎

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大理大学第一附属医院,云南大理 671000

大理白族自治州疾病预防控制中心,云南大理 671000

弥渡县疾病预防控制中心,云南 弥渡 675600

大理市疾病预防控制中心,云南 大理 671000

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输入性疟疾 长潜伏期 间日疟

2024

寄生虫病与感染性疾病
中华预防医学会 四川省疾病预防控制中心

寄生虫病与感染性疾病

影响因子:0.335
ISSN:1672-2116
年,卷(期):2024.22(3)
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