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Vol. 17. Issue 1.
Pages 41-43 (January - February 2011)
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Vol. 17. Issue 1.
Pages 41-43 (January - February 2011)
DOI: 10.1016/S0873-2159(11)70009-5
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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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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Copyright © 2011. Sociedade Portuguesa de Pneumologia
Pulmonology

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