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자료유형
학술저널
저자정보
Hyun-Jung Lee (Inha University School of Medicine) Ji-Hyeon Baek (Inha University School of Medicine) Myoung-Hun Chae (Inha University School of Medicine) Hoyeon Joo (Inha University School of Medicine) Jin-Soo Lee (Inha University School of Medicine) Moon-Hyun Chung (Inha University School of Medicine) Yun-Kyu Park (Inha University School of Medicine) Joung-Teak Kim (Inha University School of Medicine)
저널정보
대한기생충학열대의학회 Parasites, Hosts and Diseases The Korean Journal of Parasitology Vol.51 No.5
발행연도
2013.10
수록면
551 - 555 (5page)

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Complicated malaria is mainly caused by Plasmodium falciparum, but, increasingly, Plasmodium vivax is also being reported as a cause. Since the reemergence of indigenous vivax malaria in 1993, cases of severe malaria have been steadily reported in Korea. Herein, we report a case of vivax malaria complicated by adult respiratory distress syndrome (ARDS) that was successfully managed with extracorporeal membrane oxygenation (ECMO). A 59-year-old man presented at our hospital with fever and abdominal pain, which had persisted for 10 days. On admission, the patient had impaired consciousness, shock, hypoxia and haziness in both lungs, jaundice, thrombocytopenia and disseminated intravascular coagulation, metabolic acidosis, and acute kidney injury. A peripheral blood smear and a rapid diagnostic test verified P. vivax mono-infection. Ten hours after admission, hypoxia became more severe, despite providing maximal ventilatory support. The administration of antimalarial agents, ECMO, and continuous venovenous hemofiltration resulted in an improvement of his vital signs and laboratory findings. He was discharged from the hospital 7 weeks later, without any sequelae.

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Abstract
INTRODUCTION
CASE RECORD
DISCUSSION
REFERENCES

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