Solunum yetmezliğinin eşlik ettiği Plasmodium vivax malaria olgusu

Öz

Akut böbrek yetmezliği, dissemine intravasküler koagü­lasyon, akut solunum sıkıntısı sendromu (ARDS), hipog­lisemi, koma veya epileptik nöbet ağır Plasmodium fal­ciparum\'un bulgularıdır. Plasmodium vivax nadiren ciddi komplikasyonlara neden olur. Hastane bahçesinde bilinç­siz olarak bulunan 30 yaşında erkek Pakistanlı mülteci bir olguyu sunuyoruz. Yoğun bakım desteği gerektiren pnö­moni tedavisi ve yoğun bakım desteğinden sonra invaziv mekanik ventilasyondan ayrıldı. Devam eden ateş ve tit­reme atakları nedeniyle sıtma tanısı üzerine odaklanıldı, Plasmodium vivax kalın periferik yaymada tespit edildi. Yoğun bakım desteği ve spesifik antiplasmodial tedavi sonrası hasta iyileşti ve hastaneden taburcu edildi. ARDS ilişkili Plasmodium vivax\'da mekanik ventilasyon kullanı­mı olumlu sonuçla ilişkiliydi.

Anahtar Kelimeler

• ARDS, Plasmodium vivax, pnömoni, Solunum yetmezliği

A case of Plasmodium vivax malaria with respiratory failure

Abstract

Acute renal failure disseminated intravascular coagula­tion, acute respiratory distress syndrome (ARDS), hypo­glycemia, coma or epileptic seizures are manifestations of severe Plasmodium (P.) falciparum malaria. P. vivax malaria is rarely associated with severe complications. We report a case of 30-year-old male refugee coming from Pakistan, has been found in hospital garden as un­conscious. After therapy of pneumonia requiring intensive care unit and intensive supportive care, the patient left invasive mechanical ventilation (IMV). Because of contin­ued fever and chills attacks focused on malaria diagnosis, Plasmodium vivax malaria detected on thick peripheral blood smear. After intensive supportive care and specific anti-plasmodial therapy, the patient recovered and was discharged from hospital. The use of IMV vivax-malaria related ARDS was associated with a good outcome. J Clin Exp Invest 2013; 4 (2): 226-228 Key words: ARDS, Plasmodium vivax, pneumonia, re­spiratory failure

Keywords

• ARDS, Plasmodium vivax, pneumonia, re­spiratory failure

Kaynakça

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