Journal Information
Vol. 17. Issue 1.
Pages 41-43 (January - February 2011)
Vol. 17. Issue 1.
Pages 41-43 (January - February 2011)
Open Access
Malária grave — Caso clínico
Severe malaria — Clinical case
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A. Piresa,
Corresponding author
arnpires@gmail.com

Autor para correspondência.
, C. Capelaa, P. Gouveiaa, J.A. Mariza, G. Gomesb, J.E. Oliveirab
a Serviço de Medicina Interna, Hospital de Braga, Braga, Portugal
b Unidade de Cuidados Intensivos Polivalente, Serviço de Medicina, Hospital de Braga, Braga, Portugal
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Article information
Resumo

Apresenta-se o caso clínico de um doente regressado de Angola com malária grave, em que o índice de parasitémia inicial pelo P. falciparum era de 43%.

Disfunção múltipla de órgãos, incluindo ARDS, implicaram o ingresso do doente numa unidade de alta vigilância, com sobrevivência do mesmo.

Faz-se uma breve revisão do assunto, com enfoque nos indicadores de gravidade e na conduta geral, alertando e sensibilizando para esta entidade, cuja expressão, entre nós, poderá vir a assumir importância crescente.

Palavras-chave:
Malária grave
SDRA
Plasmodium falciparum
Parasitemia
Abstract

We report a clinical case of severe malaria, where the rate of initial parasitaemia by Plasmodium falciparum was 43%.

Multiple organ dysfunction, including ARDS, forced admission in a close surveillance unit, with survival of the same.

A brief review of the subject is made, focusing on severity and general conduct, alerting and awareness for this entity, whose expression, among us, could take on increasing importance.

Keywords:
Severe malaria
ARDS
Plasmodium falciparum
Parasitemia
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Bibliografia
[1.]
O.D. Freedman.
Malaria prevention in short-term travelers.
N Engl J Med, 359 (2008), pp. 603-612
[2.]
W.R. Taylor, V. Cañon, N.J. White.
Pulmonary manifestations of malaria: recognition and management.
Treat Respir Med, 5 (2006), pp. 419-428
[3.]
A. Mohan, S.K. Sharma, S. Bollineni.
Acute lung injury and acute respiratory distress syndrome in malaria.
J Vector Borne Dis, 45 (2008), pp. 179-193
[4.]
P. Charoenpan, S. Indraprasit, S. Kiatboonsri, et al.
Pulmonary edema in severe falciparum malaria. Hemodynamic study and clinicophysiologic correlation.
Chest, 97 (1990), pp. 1190-1197
[5.]
S. Picot.
Paludisme.
Rev Prat, 59 (2009), pp. 1135-1141
[6.]
Recommendations for clinical, practice.
Management and prevention of imported Plamodium falciparum malaria. (Revision 2007 of the 1999 Consensus, conference).
Med Mal Infect, 38 (2008), pp. 54-67
[7.]
G.A. Farcas, K.J.Y. Zhong, F.E. Lovegrove, et al.
Evaluation of the BINAX NOW® ICT Test versus polymerase chain reaction and microscopy for the detection of malaria in returned travelers.
Am J Trop Med Hyg, 69 (2003), pp. 589-592
[8.]
L. Wiese, B. Brunn, L. Baek, et al.
Bedside diagnosis of imported. malaria using the Binax Now malaria antigen detection test.
Scand J Infect Dis, 38 (2006), pp. 1063-1068
Copyright © 2011. Sociedade Portuguesa de Pneumologia
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