中国血吸虫病防治杂志 ›› 2014, Vol. 26 ›› Issue (3): 355-.

• 病例报道 • 上一篇    下一篇

恶性疟血涂片见大滋养体1例

王用斌1,2|孔祥礼1|许艳1|张颖2|李瑾1|赵长磊1|缪峰1|陈锡欣1|黄炳成1*   

  1. 1山东省医学科学院| 山东省寄生虫病防治研究所 (济 宁 272033); 2济南大学?山东省医学科学院医学与生 命科学学院; 3山东省日照市疾病预防控制中心
  • 出版日期:2014-06-15 发布日期:2014-08-11
  • 通讯作者: 黄炳成

Large trophozoites in blood smear of falciparum malaria: one case report

WANG Yong - bin1| 2 |KONG Xiang - li 1 |XU Yan1 |ZHANG Ying3 |LI Jin1 |ZHAO Chang - lei 1 |MIAO Feng1 |CHEN Xi - xin1 | HUANG Bing-cheng1*   

  1. 1 Shandong Academy of Medical Sciences| Shandong Institute of Parasitic Diseases| Shandong Province|Jining 272033|China;2 School of Medicine and Life Sciences|University of Jinan?Shandong Academy of Medical Sciences|China;3 Rizhao Center for Dis? ease Control and Prevention|Shandong Province|China
  • Online:2014-06-15 Published:2014-08-11
  • Contact: HUANG Bing?cheng

摘要: 本文报告1例非洲输入性非典型恶性疟病例, 其血涂片显微镜下可见较多大滋养体期原虫, 部分虫体可见棕黄色 色素颗粒, 呈点状或团块状, 虫体形态与间日疟原虫、 卵形疟原虫相似, 经PCR基因检测确诊为恶性疟。非重症恶性疟病 例外周血中出现大滋养体期原虫较为罕见, 镜检时应注意与其他疟原虫鉴别。

关键词: 恶性疟原虫; 非典型; 大滋养体; 巢式PCR; 鉴别

Abstract: This paper reports one case of atypical falciparum malaria imported from Africa,whose blood smear contains many large trophozoites,with punctiform or massive brown pigment granules,the body shape of the plasmodium is similar to that of Plas? modium vivax and Plasmodium ovale. After the gene detection by PCR,the case was diagnosed as falciparum malaria. As large tro? phozoites were rarely seen in the peripheral blood of non?severe falciparum malaria cases,much attention should be paid to the identification of Plasmodium falciparum and other plasmodia in microscopic examinations.

Key words: Plasmodium falciparum;Atypical; Large trophozoite;Nested PCR; Identification

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