Autor: |
pStone, William J., Hanchett, James E., Knepshield, James H. |
Zdroj: |
Archives of Internal Medicine; April 1972, Vol. 129 Issue: 4 p620-628, 9p |
Abstrakt: |
Falciparum malaria has become a major military health problem in Southeast Asia. Renal, cerebral, and pulmonary involvement are uncommon but potentially lethal complications of this disease. Forty-two soldiers with acute renal insufficiency due to falciparum malaria acquired in Vietnam comprise this series. Twelve (29%) died, usually of respiratory failure or cerebral malaria. Delays in diagnosis and treatment were frequent in fatal cases. The establishment of a dialysis punit in Vietnam and the development of an acceptable chemotherapeutic regimen has decreased the initial mortality of 50% to the present 14%. Two patients are presented to illustrate the difficulties encountered in US civilian hospitals when soldiers recently returned from Vietnam become ill with complicated falciparum malaria. |
Databáze: |
Supplemental Index |
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