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Bilinç Bulanıklığı ile Nadir Bir Başvuru; Serebral Sıtma

Year 2015, Volume: 6 Issue: 1, 1 - 3, 01.01.2015

Gökçe Akgül Karadana Özlem Dikme Selman Yeniocak Hakan Topaçoğlu

Abstract

Giriş: Acil servise bilinç bulanıklığı ile başvuran hastalarda
ayırıcı tanıda birçok hastalık gözden geçirilmelidir. Bir sıtma
komplikasyonu olan serebral sıtma somnolans, koma, deliryum
ve nöbetle seyreden, mortalitesi %20’leri bulan ciddi klinik bir
tablodur.
Olgu Sunumu: Acil servise ambulansla ani başlayan bilinç
bulanıklığı ile getirilen ve serebral sıtma tanısı alan bir olgu
sunulmuştur.
Sonuç: Bilinç bulanıklığı ile başvuran hastalarda ayrıntılı ve
tekrarlayan hikaye almak hayat kurtarıcı olabilmektedir

Keywords

Bilinç Bulanıklığı ateş sıtma

References

  • Cooke JL, Barsan WG. Altered Mental Status and Coma. In: Barton ED, Collings JL, DeBlieux PM, Gisondi MA, Nadel ES, Editors. James G. Adams. Emergency Medicine. Canada: Saunders Elsevier: 2008: p. 101-5.
  • Huff JS. Confusion. In: Marx J, Hockberger R,Walls R. Editors. Rosen’s Emer- gency Medicine 7th Ed. Philadelphia: Mosby Elsevier; 2010: p. 1056-62.
  • Szela JL, Tayali JY, Band JD. Malaria. In: Tintinalli JE, Stapczynski JS, Ma OJ, Cline DM, Cydulka R, Meckler GD Editors. Tintinalli’s Emergency Medici- ne, 7th Ed. A Comprehensive Study Guide. United States: McGraw Hill Companies: 2011: p.1056-62.
  • Greenwood BM, Bojang K, Whitty CJ, Targett GA. Malaria. Lancet 2005; 365: 1487-98. [CrossRef]
  • Greenwood BM, Fidock DA, Kyle DE. Malaria: progress, perils, and pros- pects for eradication. J Clin Invest 2008; 118: 1266-76. [CrossRef]
  • Cox-Singh J, Davis TM, Lee KS. Plasmodium knowlesi malaria in humans is widely distributed and potentially life threatening. Clin Infect Dis 2008: 46: 165-71. [CrossRef]
  • World Health Organization (WHO): International Travel and Health, 2009. Geneva 8. Available at: http://whqlibdoc.who.int/publicati- ons/2009/9789241580427_eng.pdf. [CrossRef]
  • Dorsey G, Ghandhi M, Oxygi JH. Difficulties in the prevention, diagnosis and treatment of imported malaria. Arch Intern Med 2000; 160: 2505-10. [CrossRef]
  • Freedman D.O, Malaria prevention in short term travelers. N Engl J Med 2008; 359: 603-12. [CrossRef]
  • Centers for Disease Control and Prevention: Malaria deaths following inappropriate malaria chemoprophylaxis—United States. MMWR Morb Mortal Wkly Rep 2001; 50: 597. http://www.ncbi.nlm.nih.gov/pub- med/1147652.

A Rare Presentation to the Emergency Department with Confusion: Cerebral Malaria

Year 2015, Volume: 6 Issue: 1, 1 - 3, 01.01.2015

Gökçe Akgül Karadana Özlem Dikme Selman Yeniocak Hakan Topaçoğlu

Abstract

Introduction: In the case of patients presenting to the emergency department with confusion, many diseases should be considered in the differential diagnosis. Cerebral malaria is a serious complication of malaria presenting with somnolence, coma, delirium, and seizures and has a mortality rate of 20%.Case Report: In this report, we present the case of a patient who was brought by ambulance to the emergency department with sudden onset of confusion, which was eventually diagnosed as cerebral malaria. Conclusion: In patients presenting with confusion, obtaining detailed and repetitive history can be life-saving

Keywords

Consciousness fever malaria

References

  • Cooke JL, Barsan WG. Altered Mental Status and Coma. In: Barton ED, Collings JL, DeBlieux PM, Gisondi MA, Nadel ES, Editors. James G. Adams. Emergency Medicine. Canada: Saunders Elsevier: 2008: p. 101-5.
  • Huff JS. Confusion. In: Marx J, Hockberger R,Walls R. Editors. Rosen’s Emer- gency Medicine 7th Ed. Philadelphia: Mosby Elsevier; 2010: p. 1056-62.
  • Szela JL, Tayali JY, Band JD. Malaria. In: Tintinalli JE, Stapczynski JS, Ma OJ, Cline DM, Cydulka R, Meckler GD Editors. Tintinalli’s Emergency Medici- ne, 7th Ed. A Comprehensive Study Guide. United States: McGraw Hill Companies: 2011: p.1056-62.
  • Greenwood BM, Bojang K, Whitty CJ, Targett GA. Malaria. Lancet 2005; 365: 1487-98. [CrossRef]
  • Greenwood BM, Fidock DA, Kyle DE. Malaria: progress, perils, and pros- pects for eradication. J Clin Invest 2008; 118: 1266-76. [CrossRef]
  • Cox-Singh J, Davis TM, Lee KS. Plasmodium knowlesi malaria in humans is widely distributed and potentially life threatening. Clin Infect Dis 2008: 46: 165-71. [CrossRef]
  • World Health Organization (WHO): International Travel and Health, 2009. Geneva 8. Available at: http://whqlibdoc.who.int/publicati- ons/2009/9789241580427_eng.pdf. [CrossRef]
  • Dorsey G, Ghandhi M, Oxygi JH. Difficulties in the prevention, diagnosis and treatment of imported malaria. Arch Intern Med 2000; 160: 2505-10. [CrossRef]
  • Freedman D.O, Malaria prevention in short term travelers. N Engl J Med 2008; 359: 603-12. [CrossRef]
  • Centers for Disease Control and Prevention: Malaria deaths following inappropriate malaria chemoprophylaxis—United States. MMWR Morb Mortal Wkly Rep 2001; 50: 597. http://www.ncbi.nlm.nih.gov/pub- med/1147652.
There are 10 citations in total.

Details

Other ID JA64EB54PS
Journal Section Research Article
Authors

Gökçe Akgül Karadana This is me

Özlem Dikme This is me

Selman Yeniocak This is me

Hakan Topaçoğlu This is me

Publication Date January 1, 2015
Submission Date January 1, 2015
Published in Issue Year 2015 Volume: 6 Issue: 1

Cite

APA Karadana, G. A., Dikme, Ö., Yeniocak, S., Topaçoğlu, H. (2015). A Rare Presentation to the Emergency Department with Confusion: Cerebral Malaria. Journal of Emergency Medicine Case Reports, 6(1), 1-3.
AMA Karadana GA, Dikme Ö, Yeniocak S, Topaçoğlu H. A Rare Presentation to the Emergency Department with Confusion: Cerebral Malaria. Journal of Emergency Medicine Case Reports. January 2015;6(1):1-3.
Chicago Karadana, Gökçe Akgül, Özlem Dikme, Selman Yeniocak, and Hakan Topaçoğlu. “A Rare Presentation to the Emergency Department With Confusion: Cerebral Malaria”. Journal of Emergency Medicine Case Reports 6, no. 1 (January 2015): 1-3.
EndNote Karadana GA, Dikme Ö, Yeniocak S, Topaçoğlu H (January 1, 2015) A Rare Presentation to the Emergency Department with Confusion: Cerebral Malaria. Journal of Emergency Medicine Case Reports 6 1 1–3.
IEEE G. A. Karadana, Ö. Dikme, S. Yeniocak, and H. Topaçoğlu, “A Rare Presentation to the Emergency Department with Confusion: Cerebral Malaria”, Journal of Emergency Medicine Case Reports, vol. 6, no. 1, pp. 1–3, 2015.
ISNAD Karadana, Gökçe Akgül et al. “A Rare Presentation to the Emergency Department With Confusion: Cerebral Malaria”. Journal of Emergency Medicine Case Reports 6/1 (January 2015), 1-3.
JAMA Karadana GA, Dikme Ö, Yeniocak S, Topaçoğlu H. A Rare Presentation to the Emergency Department with Confusion: Cerebral Malaria. Journal of Emergency Medicine Case Reports. 2015;6:1–3.
MLA Karadana, Gökçe Akgül et al. “A Rare Presentation to the Emergency Department With Confusion: Cerebral Malaria”. Journal of Emergency Medicine Case Reports, vol. 6, no. 1, 2015, pp. 1-3.
Vancouver Karadana GA, Dikme Ö, Yeniocak S, Topaçoğlu H. A Rare Presentation to the Emergency Department with Confusion: Cerebral Malaria. Journal of Emergency Medicine Case Reports. 2015;6(1):1-3.