Successful treatment of malaria tropica with acute renal failure and cerebral involvement by plasmapheresis and hemodialysis
Identifieur interne : 003307 ( Main/Merge ); précédent : 003306; suivant : 003308Successful treatment of malaria tropica with acute renal failure and cerebral involvement by plasmapheresis and hemodialysis
Auteurs : Ulrike Stuby ; W. Kaiser ; G. Biesenbach ; J. ZazgornikSource :
- Infection [ 0300-8126 ] ; 1988-11-01.
English descriptors
- Teeft :
- Blood coagulation, Blood exchange, Blood smears, Case report, Cerebral involvement, Cerebral malaria, Clinical symptoms, Coagulation, Editiones roche, Exchange transfusion, Falciparum, Falciparum malaria, Hahnenklee symposium, Hemodialysis, Hepatocellular damage, Intravascular coagulation, Intravenous quinine, Laboratory findings, Malaria, Malaria tropica, Medizin, Microvascular system, Organ failure, Organ involvement, Parasitemia, Parasitized, Plasma exchange therapy, Plasmafiltration, Plasmapheresis, Plasmodium, Plasmodium falciparum, Pulmonary damage, Renal, Renal failure, Severe malaria, Stuby, Thieme verlag york, Toxic products, Transfusion, Tropica, Verlag, Whole blood exchange transfusions.
Abstract
Summary: A non-immune, 31-year-old woman developed an acute infection withPlasmodium falciparum after travelling to Kenia. The parasites proved resistant to chloroquine and sulfadoxine/pyrimethamine. The course of the disease was complicated by acute renal failure, hepatocellular damage, disorders of blood coagulation, thrombocytopenia, hemolysis and cerebral involvement. Despite a very high level of parasitemia (50% parasitized erythrocytes) a rapid clinical improvement was achieved by plasmapheresis and hemodialysis. Our experience shows that plasmapheresis and hemodialysis are excellent additive methods which rapidly improve clinical symptoms and may reduce morbidity and mortality in severe malaria tropica.
Zusammenfassung: Eine nicht-immune, 31 jährige Patientin erkrankte nach einem Keniaurlab an Malaria tropica. Die Plasmodien erwiesen sich als resistent gegenüber Chloroquin und Sulfadoxin/Pyrimethamin. Der Krankheitsverlauf war gekennzeichnet durch schwere Organkomplikationen: akutes Nierenversagen, Leberfunktionseinschränkung, Gerinnungsstörung und Thrombozytopenie, Hämolyse und zerebrale Malaria. Durch den Einsatz intensivierter Therapiemaßnahmen, wie Plasmapherese und Hämodialyse konnte trotz weiterbestehender Parasitämie von 50% eine rasche klinische Besserung bis zum Wirksamwerden der Kausaltherapie mit Chinin erreicht werden. Unsere Erfahrung zeigt, daß Plasmapherese und Hämodialyse ausgezeichnete adjuvante Therapieformen zur Verbesserung der klinischen Symptomatik bei schwerer Malaria tropica sind. Durch ihren frühzeitigen Einsatz können sie zur Verminderung der Morbidität und Mortalität bei komplizierter Malaria beitragen.
Url:
DOI: 10.1007/BF01644550
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Zazgornik</name><affiliation><wicri:noCountry code="subField">Linz</wicri:noCountry></affiliation></author></analytic><monogr></monogr><series><title level="j">Infection</title><title level="j" type="sub">A Journal of INFECTIOUS Disease</title><title level="j" type="abbrev">Infection</title><idno type="ISSN">0300-8126</idno><idno type="eISSN">1439-0973</idno><imprint><publisher>Springer-Verlag</publisher><pubPlace>Berlin/Heidelberg</pubPlace><date type="published" when="1988-11-01">1988-11-01</date><biblScope unit="volume">16</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="362">362</biblScope><biblScope unit="page" to="364">364</biblScope></imprint><idno type="ISSN">0300-8126</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0300-8126</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="Teeft" xml:lang="en"><term>Blood coagulation</term><term>Blood exchange</term><term>Blood smears</term><term>Case report</term><term>Cerebral involvement</term><term>Cerebral malaria</term><term>Clinical symptoms</term><term>Coagulation</term><term>Editiones roche</term><term>Exchange transfusion</term><term>Falciparum</term><term>Falciparum malaria</term><term>Hahnenklee symposium</term><term>Hemodialysis</term><term>Hepatocellular damage</term><term>Intravascular coagulation</term><term>Intravenous quinine</term><term>Laboratory findings</term><term>Malaria</term><term>Malaria tropica</term><term>Medizin</term><term>Microvascular system</term><term>Organ failure</term><term>Organ involvement</term><term>Parasitemia</term><term>Parasitized</term><term>Plasma exchange therapy</term><term>Plasmafiltration</term><term>Plasmapheresis</term><term>Plasmodium</term><term>Plasmodium falciparum</term><term>Pulmonary damage</term><term>Renal</term><term>Renal failure</term><term>Severe malaria</term><term>Stuby</term><term>Thieme verlag york</term><term>Toxic products</term><term>Transfusion</term><term>Tropica</term><term>Verlag</term><term>Whole blood exchange transfusions</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Summary: A non-immune, 31-year-old woman developed an acute infection withPlasmodium falciparum after travelling to Kenia. The parasites proved resistant to chloroquine and sulfadoxine/pyrimethamine. The course of the disease was complicated by acute renal failure, hepatocellular damage, disorders of blood coagulation, thrombocytopenia, hemolysis and cerebral involvement. Despite a very high level of parasitemia (50% parasitized erythrocytes) a rapid clinical improvement was achieved by plasmapheresis and hemodialysis. Our experience shows that plasmapheresis and hemodialysis are excellent additive methods which rapidly improve clinical symptoms and may reduce morbidity and mortality in severe malaria tropica.</div><div type="abstract" xml:lang="de">Zusammenfassung: Eine nicht-immune, 31 jährige Patientin erkrankte nach einem Keniaurlab an Malaria tropica. Die Plasmodien erwiesen sich als resistent gegenüber Chloroquin und Sulfadoxin/Pyrimethamin. Der Krankheitsverlauf war gekennzeichnet durch schwere Organkomplikationen: akutes Nierenversagen, Leberfunktionseinschränkung, Gerinnungsstörung und Thrombozytopenie, Hämolyse und zerebrale Malaria. Durch den Einsatz intensivierter Therapiemaßnahmen, wie Plasmapherese und Hämodialyse konnte trotz weiterbestehender Parasitämie von 50% eine rasche klinische Besserung bis zum Wirksamwerden der Kausaltherapie mit Chinin erreicht werden. Unsere Erfahrung zeigt, daß Plasmapherese und Hämodialyse ausgezeichnete adjuvante Therapieformen zur Verbesserung der klinischen Symptomatik bei schwerer Malaria tropica sind. Durch ihren frühzeitigen Einsatz können sie zur Verminderung der Morbidität und Mortalität bei komplizierter Malaria beitragen.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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