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报告1例26岁女患者,在非洲逗留3个月回美国3天后出现疲倦、发热及恶心。症状持续3天,消退2天后又再出现并伴腰痛、额痛3天。起病后9天入院。自诉前3个月每周服乙氨嘧啶1次,自幼有心脏杂音,反复尿道感染,3年前患过病毒性脑膜炎,妊娠2个月。体检:发热、轻度心动过速、主动脉瓣区Ⅱ级收缩期杂音,轻度左肋脊角触痛及正常宫内妊娠。脾无肿大。血细胞压积44％,白细胞3,400/立方毫米,分类正常,血小板84,000/立方毫米,除轻度蛋白尿及酮尿外,其余尿液分析正常。大便检查无寄生虫卵。胸部X线检查正常,心电图发现非特异性ST-T段改变。入院后多次血片检查均未找到疟原
One reported 26-year-old woman reported fatigue, fever and nausea after her stay in Africa for three months and returned to the United States for three days. Symptoms persist for 3 days, disappear again after 2 days and with low back pain, pain for 3 days. 9 days after admission admitted to hospital. Prosecution 3 months before the first weekly serotonin 1, heart murmur since childhood, repeated urinary tract infections, 3 years ago had viral meningitis, pregnancy 2 months. Physical examination: fever, mild tachycardia, aortic valve area systolic murmur Ⅱ, mild left rib ridge angle tenderness and normal intrauterine pregnancy. Spleen without swelling. Hematocrit 44%, white blood cells 3,400 / cubic millimeter, normal classification, platelets 84,000 / cubic mm, with the exception of mild proteinuria and ketone urine, the remaining urine analysis was normal. Stool examination without parasitic eggs. Chest X-ray examination was normal, ECG found non-specific ST-T segment changes. Many blood tests after admission were not found in malaria