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患者,男,44岁,河南省信阳市新县人,农民工。于2012年10月19日赴非洲安哥拉务工,于2012年11月4日自行回国,在安哥拉期间无疟史、无其他疾病,出国前后均未进行抗疟预防性服药。11月5日开始出现不规则发热,伴寒战、呕吐和头晕等症状,11月7日至8日曾在当地乡镇卫生院以感冒病因治疗,11月9日至信阳市某医院住院治疗,未明确诊断,输液治疗时突发神志不清、全身抽搐和失禁等严重症状。于11月10日下午17时转入武汉市某部属三甲医院,入院诊断:疟疾、多器官功能衰竭、血小板减少、感染性休克。血检疟原虫阳性。入
Patients, male, 44 years old, Xinyang City, Henan Province, New County, migrant workers. On October 19, 2012, he went to work in Angola, Africa. He returned to China on November 4, 2012, had no history of malaria and no other diseases during his stay in Angola, and did not take anti-malarial prophylaxis before or after leaving the country. November 5 began to appear irregular fever, chills, vomiting and dizziness and other symptoms, November 7 to 8 in the local township hospitals in the cause of flu treatment, Nov. 9 to Xinyang City Hospital in hospital treatment, not Clear diagnosis, infusion therapy sudden unconsciousness, convulsions and incontinence and other serious symptoms. On November 10 at 17:00 into Wuhan, a subordinate top three hospitals, admission diagnosis: malaria, multiple organ failure, thrombocytopenia, septic shock. Blood tests Plasmodium positive. Into