
doi: 10.16919/btd.79599
Tropikal ve subtropikal bolgelerde yaygin olarak saptanan sitmanin ulkemizde genellikle P. vivax turu gorulmektedir. Ancak yurt disi seyahat oykusu bulunanlarda P. falciparum sitmasina da rast- lanmaktadir. Biz burada Sudan’da P. falciparum’a bagli sitma suphesi ile tedavi baslanilan, ve ta- kibi klinigimizde yapilan bir olguyu sunduk. Otuz uc yasinda erkek hasta, halsizlik ve istahsizlik sikayetleri ile poliklinigimize basvurdu. Oykusunde Sudan’da calistigi ogrenildi. Bir hafta once ates yuksekligi, titreme, terleme, istahsizlik ve halsizlik sikayetleri ile Sudan’da hastaneye basvurmus. Parazitolojik incelemesinde P. falciparum tespit edilmis. Meflokin ve artesunat tablet tedavi bas- lanmis, uc gun bu tedaviyi alarak Turkiye’ye donen hasta, poliklinigimize basvurdu. Anemi ve trom- bositopeni tespit edildi. Hastaya doksisiklin 2x100 mg tablet tedavi baslandi. P. falciparum sitmasi serebral malarya, hipoglisemi, anemi, trombositopeni ve pulmoner odem gibi komplikasyonlarla seyredebileceginden bu olgularin yakin takibi gereklidir. Olgu; trombositopeni ve anemi yonunden izlenmis ve ek mudahale gerekmeden sifa ile sonuclanmistir. Anahtar kelimeler: Plasmodium falciparum; Sitma; Seyahat ABSTRACT Malaria is commonly detected in tropical and subtropical regions, P. vivax is the type generally seen in our country. However, P. falciparum malaria can also be seen among those who have a history of visiting abroad. Here, we reported a patient with P.falciparum whose treatment was started in Sudan due to suspicion of malaria, the diagnosis and follow-up was carried out in our clinic then after. Thirty-three years old male patient was admitted to outpatient clinic with complaints of fatigue and loss of appetite. In his history it was obtained that he had worked in Sudan and had applied to the hospital with complaints of high fever, sweating and weakness. In his parasitological examination, P. falciparum was detected. Mefloquine and artesunate oral treatment were started. After taking these medicines for three days, the patient returned to Turkey and applied to our department. Anemia and thrombocytopenia were detected. Doxycycline 100 mg twice a day treatment was started orally. Since P. falciparum related malaria clinically can cause complications such as cerebral malaria, hypoglycemia, anemia, thrombocytopenia and pulmonary edema, close follow-up is necessary. In our case, the patient was put under follow-up for anemia and thrombocytopenia, and he was recovered totally without needing any extra intervention. K e y w ords: Plasmodium falciparum; Malaria; Travel
| selected citations These citations are derived from selected sources. This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 1 | |
| popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Average | |
| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Average | |
| impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Average |
