Malaria vivax in Bukovyna: the clinical case of uncontrolled self-treatment
DOI:
https://doi.org/10.15587/2519-4798.2017.107918Keywords:
Plasmodium vivax, parasite-spreading, imported malaria, relapse, self-treatment, labor migrant, BukovynaAbstract
Materials and methods. There were used clinical, general laboratory, parasitological (microscopy of a smear and thick drop of blood), instrumental, epidemiological research methods. The descriptive analysis of the medical documentation (outpatient and stationary card of a patient) was realized, clinical-epidemiological data of a patient were analyzed.
Results of research and their discussion. At the admission of a patient of the infectious stationary of MCI “Regional clinical hospital of Chernyvtsi city” it was elucidated that he has been suffering from malaria attacks (ague-fever-perspiration) since 2013 after staying in Venezuela. He has the distinctly expressed positive epidemiological anamnesis, connected with a contract work. In the presented clinical case the patient was aware as to the malaria symptoms, because worked as a ship doctor. The uncontrolled self-treatment at the absence of the “gold standard” of laboratory diagnostics of malaria led to the long parasite-spreading in the liver tissue as “dormant forms”.
Conclusions.
1. At the positive epidemic anamnesis all cases of fever of unexplained genesis must be diagnosed for the most socially important tropic disease of 21 century in the world scale – malaria.
2. It is obligatory to establish the type of a malaria plasmodium by the repeated parasitoscopy of blood by the methods of thin smear, stained according to Gimza-Romanovsky and thick drop taking into account the predicted sensitivity to anti-malaria chemopreparations.
3. The attentive attitude of family doctors of the first link of family medicine to malaria allows to avoid complicated forms and remote relapses of this inoculable infection, caused by different types of plasmodia
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Copyright (c) 2017 Andrii Sokol, Aniuta Sydorchuk, Nonna Bohachyk, Yadviha Venhlovs’ka
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