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Status febrilis mit Bewusstlosigkeit

Status febrilis and unconsciousness

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Zusammenfassung

Eine zerebrale Beteiligung bei Malaria mit Plasmodium vivax ist ungewöhnlich. Diese schwere Form der Malaria ist üblicherweise durch Plasmodium falciparum bedingt. Wir berichten über eine 18-jährige Patientin aus Pakistan mit langjähriger intermittierender Fieberanamnese, welche 4 Monate nach Einreise in die Schweiz erstmals an einer zerebralen Vivax-Malaria erkrankt. Die eindrückliche neurologische Symptomatik mit Amaurosis und Bewusstseinsstörung bildete sich in diesem Fall unter Therapie in wenigen Tagen zurück. Jedoch sind Todesfälle bei zerebraler Malaria durch Plasmodium vivax beschrieben.

Abstract

Cerebral malaria with Plasmodium vivax is uncommon. Normally Plasmodium falciparum is the cause of cerebral malaria. We report about a 18 year old patient from Pakistan with a history of intermittent fever for several months. The patient recovered within a few days; however prognosis can be severe when cerebral malaria is complicating the course of Plasmodium vivax infection.

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Authors and Affiliations

  1. Medizinische Klinik B, Universitätsspital Basel

    M. Sawatzki

  2. Schweizerisches Tropeninstitut, Universität Basel

    C. Hatz

  3. Klinik für Hämatologie, Universitätsspital Basel

    A. Buser

  4. Klinik für Infektiologie, Universitätsspital Basel

    M. Battegay

  5. Klinik für Infektiologie, Universitätsspital, Petersgraben 4, 4031, Basel, Schweiz

    M. Battegay

Authors
  1. M. Sawatzki
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  2. C. Hatz
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  3. A. Buser
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  4. M. Battegay
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Correspondence to M. Battegay.

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Sawatzki, M., Hatz, C., Buser, A. et al. Status febrilis mit Bewusstlosigkeit. Internist 46, 202–205 (2005). https://doi.org/10.1007/s00108-004-1337-x

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  • DOI: https://doi.org/10.1007/s00108-004-1337-x

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