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疟疾在我省仍是一个常见多发病。由于疟原虫对机体组织的直接损伤,及机体对入侵疟原虫产生免疫应答反应,血循环中免疫复合物增加,并因此引起全身多脏器损伤,使临床表现复杂多变,易引起误诊。最近,本刊陆续收到一些有关稿件,现综合于后,以引起大家注意。一、关节炎型: 患者男,22岁,住院号90216(皖医,滕世杰)。患者因发冷发热,大关节肿痛一周而入院。入院的体温39℃,两侧膝、踝关节红肝,脾大二指。化验:WBC2800,N25％,L25％,疟原虫(一)。尿蛋白(++),WBC少许,颗粒管型少许,肾功能正常。抗核
Malaria is still a common morbidity in our province. Due to the direct damage to the body tissue of the malaria parasite and the immune response of the body to the invading Plasmodium, the immune complex in the blood circulation increases and thus causes multiple body organ damage, complicating the clinical manifestations and easily leading to misdiagnosis. Recently, we have received some articles in succession and are now integrated to arouse people’s attention. First, arthritis type: patient male, 22 years old, hospital number 90216 (Anhui Medical, Teng Shijie). Patients with chilly fever, swollen joints a week and admitted to hospital. Admission of 39 ℃ temperature, both sides of the knee, ankle red liver, splenomegaly two fingers. Assay: WBC2800, N25%, L25%, Plasmodium (a). Urinary protein (++), a little WBC, a little granular tube, normal renal function. Anti-nuclear