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題 名 | Imported Malaria: Successful Treatment of 31 Patients in the Era of Chloroquine Resistance=境外移入瘧疾:Chloroquine 抗藥性時代31例成功治療經驗 |
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作 者 | 方啟泰; 張上淳; 張惠莉; 陳宜君; 薛博仁; 洪健清; 謝維銓; | 書刊名 | 臺灣醫學會雜誌 |
卷 期 | 98:10 1999.10[民88.10] |
頁 次 | 頁683-687 |
分類號 | 415.2901 |
關鍵詞 | 瘧疾; 抗藥性; Imported malaria; Plasmodium falciparum; Quinine toxicity; Chloroquine resistance; |
語 文 | 英文(English) |
英文摘要 | The diagnosis and management of imported malaria presents a continuing challenge in developed countries, including Taiwan. We retrospectively analyzed the records of all 31 patients with imported malaria treated at National Taiwan University Hospital from January 1984 through December 1998. Plasmodium falciparum was identified as the causative malarial parasite in 18 patients, P. vivax in 12, and P. ovale in one. All 31 patients had fever, but only 13 presented with the characteristic fever pattern. The most common initial laboratory abnormalities were thrombocytopenia (20/31), mild hyperbilirubinemia (20/31), and leukopenia (7/31). The median time from the onset of fever to the correct diagnosis was 4 days for P. falciparum and 5 days for P. vivax. In 28 cases, the clue that led to early diagnosis was the patient's travel history. Quinine, but not chloroquine, was effective in 17 out of 18 cases of falciparum malaria. Three patients treated with intravenous quinine required a change of regimen because of life-threatening quinine toxicity; artesunate served as a safe and effective alternative in this situation. While most patients with tertian malaria were cured with the standard chloroquine and primaquine regimen, a higher dosage was required for one case acquired in Papua New Cuinea. All patients, including two with severe malaria, survived. We conclude that, the mortality of imported malaria in the chloroquine resistance era can be minimized with early recognition by obtaining a thorough travel history, and instituting appropriate antimalarial chemotherapy based on precise identification of species. Quinine toxicity should be closely monitored, especially when this drug is given intravenously. |
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