文章基本信息

标题：A Case ofResistant M [alarial Infection with Hyper Reactive M alarial Splenomegaly
本地全文：下载
作者：DrPK Singh ; Surg CdrA Singha ; Surg Cdr K Anupam 等
期刊名称：Journal of Marine Medical Society
印刷版ISSN：0975-3605
电子版ISSN：2589-1235
出版年度：2015
卷号：17
期号：1
页码：84-85
语种：English
出版社：Medknow Publications
摘要：massive splenomegaly with no abscess,collctionor lymphadenopathy. Her upper gi endoscopy was normal. During her course in hospital she was managed with parenteral artesunate for five days with oral mefloquine,doxycycline,primaquine and subsequently with oral artemether and lumefantrine along with combination of broad spectrum antibiotics. She also received 6 units of blood components. Despite these even on10th day her peripheral smear remained positive for Plasmodium vivax,requiring continuation of parenteral artesunate and became negative only after 14 days of artesunate therapy. Patient was given a total 3 weeks of artesunate therapy with other supportive therapy. A final diagnosis of mixed complicated resistant malarial infection with hyper reactive splenomegaly was made. She was subsequently discharged and presently under followup.