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3例疟疾患者因大量疟原虫在骨髓内繁殖,其临床症状、体征、热型不典型,加之血液中未检出疟原虫,误诊为白血病、肝硬化、脾亢等症,多次血检无阳性发现,对症治疗无效,经骨髓检查出疟原虫,抗疟治疗,病情明显好转。此3例误诊病例说明:在无疟区,不仅要检查发热患者血液中的疟原虫,对疑似患者进行重点(必要时采取骨髓)检查,有重要诊断价值,因骨髓
Three cases of malaria patients due to a large number of malaria parasites in the bone marrow multiplication, the clinical symptoms, signs, heat type is not typical, coupled with blood was not detected in malaria parasites, misdiagnosed as leukemia, cirrhosis, hypersensitivity embolism, multiple blood tests Positive findings, symptomatic treatment is invalid, detected by the bone marrow malaria parasite, anti-malarial treatment, the condition was significantly improved. Misdiagnosed cases of these 3 cases: no malaria area, not only to check the blood of fever in patients with Plasmodium, the focus of suspected patients (if necessary, take the bone marrow) examination, there is an important diagnostic value, due to bone marrow