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Title :Falciparum Malaria Incidentally Pretreated with Azithromycin
Authors :Shibahara, Daisuke
Kinjo, Takeshi
Nishiyama, Naoya
Kami, Wakaki
Nabeya, Daijiro
Haranaga, Shusaku
Higa, Futoshi
Tateyama, Masao
Shinzato, Takashi
Toma, Hiromu
Kishimoto, Hidehiro
Fujita, Jiro
Issue Date :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.
URL :https://doi.org/10.2169/internalmedicine.54.5399
Type Local :雑誌掲載論文
ISSN :1349-7235
Publisher :The Japanese Society of Internal Medicine
URI :http://hdl.handle.net/20.500.12000/46326
Citation :Internal Medicine Vol.54 no.19 p.2513 -2516
Appears in Collections:Peer-reviewed Journal Articles (Faculty of Medicine)

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