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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 0918-2918 |
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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