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目的了解恶性疟配子体发生、发展原因及检出经过。方法根据流行病学调查及疟疾血检结果对1例疟疾案例进行分析。结果报道了1例境外输入性恶性疟病例的诊疗情况。患者非洲务工1年,感染疟疾数次,回国前再次发病并在当地抗疟治疗6 d,10 d后回国再次感到发热、出汗、头痛。到乳山疾控中心采血镜检,后经威海市疾控中心复核及山东省寄生虫病防治研究所疟疾诊断参比实验室复核,确诊为恶性疟。因为及时给予患者科泰复药物治疗,痊愈,3个月随访,未见异常。结论由于近几年对疟疾认识的提高,早发现早治疗使得恶性疟很少发展成配子体,因此恶性疟配子体的检出显得弥足珍贵。
Objective To understand the occurrence and development of falciparum malaria gametophyte and its detection. Methods According to epidemiological investigation and malaria blood test results, 1 case of malaria was analyzed. Results A case of imported falciparum malaria cases was reported. Patient who worked in Africa for one year had been infected with malaria several times, re-onset before returning to China and anti-malaria treatment on the ground for 6 days. After returning to China for 10 days, he felt fever, sweating and headache again. To Rushan CDC blood collection microscopy, after Weihai CDC review and Shandong Institute of Parasitic Diseases malaria diagnostic reference laboratory review, diagnosed with falciparum malaria. Because timely treatment of patients with Ketai complex drugs, recovered, 3 months follow-up, no abnormalities. Conclusion Due to the increased awareness of malaria in recent years, early detection of early treatment makes falciparum malaria rarely develop into gametophytes. Therefore, detection of P. falciparum gametophytes is of great value.