Poster presentation

2000 Japanese Journal of Tropical Medicine and Hygiene  
A 67-year-old male was admitted presenting with consciousness disturbance (JCS, after completing a 12-day tour to east Africa without malaria chemoprophylaxis. When he visited the hospital one day prior to admission complaining fever and slight sore throat, he did not mention the travel history. Soon after his travel history was revealed, blood films were prepared which showed abundant ring forms mixed with a small number of trophozoites and schizonts of Plasmodium falciparum, with the
more » ... ia of 26%. Despite intravenous quinine infusion, first that of loading dose, his consciousness state (JCS, 111-300) , renal and hepatic functions and anemia (Hb, 5.8 g/dl) deteriorated progressively. Moreover, metabolic acidosis worsened with the pH of 6.954, HCO3-of 6.
doi:10.2149/tmh1973.28.60 fatcat:fom2nrisvnd57eumaqbc2c2lvi