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Falciparum Malaria Incidentally Pretreated with Azithromycin.
- Source :
-
Internal medicine (Tokyo, Japan) [Intern Med] 2015; Vol. 54 (19), pp. 2513-6. Date of Electronic Publication: 2015 Oct 01. - Publication Year :
- 2015
-
Abstract
- A 65-year-old man, who recently returned from Liberia, visited a clinic complaining of fever, and azithromycin was prescribed. The patient presented to a general hospital 5 days after the onset of symptoms, however, a blood smear examination failed to detect malaria. Contrary to the blood smear result, a rapid antigen test in our hospital was strongly-positive for falciparum malaria, indicating a high level of malarial antigen in the blood. Moreover, laboratory examinations on admission showed a tendency for improvement. We assumed that the administration of azithromycin partially treated malaria, thus complicating the blood smear diagnosis. We should be careful in prescribing azithromycin, which is widely used in clinics, to travelers returning from malaria-endemic countries.
- Subjects :
- Aged
Delayed Diagnosis
Fever etiology
Humans
Malaria, Falciparum blood
Malaria, Falciparum complications
Male
Practice Patterns, Physicians'
Travel
Anti-Bacterial Agents administration & dosage
Antimalarials therapeutic use
Azithromycin administration & dosage
Fever drug therapy
Malaria, Falciparum diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 1349-7235
- Volume :
- 54
- Issue :
- 19
- Database :
- MEDLINE
- Journal :
- Internal medicine (Tokyo, Japan)
- Publication Type :
- Academic Journal
- Accession number :
- 26424314
- Full Text :
- https://doi.org/10.2169/internalmedicine.54.5399