발작과 쇼크를 동반한 토착형 삼일열 말라리아 1예
A Case of Vivax Malaria with Seizure and Shock
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초록
삼일열 말라리아는 일반적으로 경미한 임상경과를 거치며, 열대열 말라리아와 달리 뇌형말라리아, 폐부종, 신부전 등의 치명적인 합병증을 일으키지 않는 것으로 알려져 있다. 저자들은 특이한 과거력이 없던 건강하던 성인이 국내에서 삼일열 말라리아에 걸린 후 발작과 쇼크가 발생하여, 항말라리아 약제와 대증치료로 치료된 증례를 경험하였다.
Abstract
Vivax malaria reemerged in the Republic of Korea in 1993. Vivax malaria is generally a benign disease with few severe complications. Even in the worldwide literature, there is only a small number of case reports on severe complications in vivax malaria. We report a unique case of P. vivax infection complicated by seizure and shock. A 58 year-old male showed generalized tonic-clonic seizure and shock after P. vivax infection. The species of malaria parasite was identified using peripheral blood film examination and polymerase chain reaction (PCR). He successfully recovered after treatment with hydroxychloroquine.
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