Automated exchange transfusion for life-threatening plasmodium falciparum malaria--lessons relating to prophylaxis and treatment
| Autor: | N. Nayak, DA Jones, D.A. Winfield, CJ Mainwaring, Stephen T Green, M.J. Leach |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
Microbiology (medical)
Adult medicine.medical_specialty medicine.medical_treatment Exchange Transfusion Whole Blood Exchange transfusion Parasitemia parasitic diseases medicine Humans Malaria Falciparum Intensive care medicine Adverse effect Disseminated intravascular coagulation Quinine Travel biology Mefloquine business.industry Plasmodium falciparum medicine.disease biology.organism_classification Surgery Diagnosis of malaria Infectious Diseases Female business Malaria medicine.drug |
| Zdroj: | The Journal of infection. 39(3) |
| ISSN: | 0163-4453 |
| Popis: | We report a case of traveller to Kenya who contracted severe plasmodium falciparum malaria complicated by disseminated intravascular coagulation and acute renal failure. She had taken no antimalarial prophylaxis in view of concerns in the media regarding the adverse effects of mefloquine. There was a protracted delay before the diagnosis of malaria was made. Clinical recovery occurred following treatment with intravenous quinine, haemofiltration and manual/automated red-cell exchange transfusions. Automated red-cell exchange transfusion resulted in a marked decrease in the parasitaemia, before a response to quinine therapy would have been anticipated, leading to a successful outcome thereafter. In conjunction with other groups we therefore feel that exchange transfusions should be considered in seriously ill patients with falciparum malaria, multiorgan complications and parasitaemias greater than 10%. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect