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本文报告山东省首例输入性三日疟,患者曾在非洲安哥拉务工4年,回国后2d(2013年1月25日)因发热、出汗、头痛、乏力而就诊,疟原虫血涂片镜检阴性。50d后(2013年3月17日)再次因发热、全身乏力就诊,血涂片镜检发现疟原虫,诊断为间日疟,经氯喹/伯氨喹8d治疗后痊愈,随访3个月未见再燃。省级复核血涂片发现典型的三日疟多期原虫,经PCR基因检测,确证为三日疟。提示应加强疟防专业人员诊治罕见三日疟、卵形疟的技能培训,以减少误诊、误治。
This article reports the first case of malaria imported from Shandong Province. The patient worked in Angola for 4 years and returned to China after 2 days (January 25, 2013) due to fever, sweating, headache and fatigue. Seizure negative. After 50 days (March 17, 2013) again due to fever, generalized treatment, blood smear microscopy found Plasmodium vivax, chlordecone / primaquine 8d after treatment cured, no follow-up of 3 months Burning again. Provincial blood tests found that a typical three-day-old Plasmodium vivax, PCR gene test, confirmed as malaria three days. It is suggested that malaria prevention and treatment professionals should strengthen their skills training in the diagnosis and treatment of rare malaria and malaria, so as to reduce misdiagnosis and mistreatment.