ISSN 1006-298X      CN 32-1425/R

导航

肾脏病与透析肾移植杂志 ›› 2017, Vol. 26 ›› Issue (4): 395-400.DOI: 10.3969/j.issn.1006-298X.2017.04.021

• 论文 • 上一篇    

高热、无尿、神志不清

  

  • 出版日期:2017-08-28 发布日期:2017-09-04

Hyperpyrexia,oliguria and obnubilation

  • Online:2017-08-28 Published:2017-09-04

摘要:

44岁男性,赴非洲务工人员,寒战、高热5d后出现无尿、意识不清,迅速进展为多器官功能不全综合征。血涂片找到疟原虫环状体。肾活检病理示间质性炎性细胞浸润及小管炎伴小管急性损伤。最终诊断重症疟疾,多器官功能不全综合征,急性肾损伤。

关键词: 重症疟疾, 急性肾损伤, 多器官功能不全综合征

Abstract:

A 44 yearold man who had worked in Africa,presented with chills and persisted fever,progressing to multiple organ dysfunction rapidly. His blood test found ringstage Plasmodium. The kidney biopsy revealed interstitial inflammatory cellular infiltration and tubulitis with acute tubular injury. The final diagnosis for the case was severe malaria,acute kidney injury(AKI),multiple organ dysfunction syndrome(MODS).

Key words: severe malaria, acute kidney injury, multiple organ dysfunction syndrome