Gökçe Akgül KARADANA, Özlem DİKME, Selman YENİOCAK, Hakan TOPAÇOĞLU

Bilinç Bulanıklığı ile Nadir Bir Başvuru; Serebral Sıtma

Giriş: Acil servise bilinç bulanıklığı ile başvuran hastalarda ayırıcı tanıda birçok hastalık gözden geçirilmelidir. Bir sıtma komplikasyonu olan serebral sıtma somnolans, koma, deliryum ve nöbetle seyreden, mortalitesi %20’leri bulan ciddi klinik bir tablodur. Olgu Sunumu: Acil servise ambulansla ani başlayan bilinç bulanıklığı ile getirilen ve serebral sıtma tanısı alan bir olgu sunulmuştur. Sonuç: Bilinç bulanıklığı ile başvuran hastalarda ayrıntılı ve tekrarlayan hikaye almak hayat kurtarıcı olabilmektedir

Anahtar Kelimeler:

Bilinç Bulanıklığı, ateş, sıtma

A Rare Presentation to the Emergency Department with Confusion: Cerebral Malaria

Introduction: In the case of patients presenting to the emergency department with confusion, many diseases should be considered in the differential diagnosis. Cerebral malaria is a serious complication of malaria presenting with somnolence, coma, delirium, and seizures and has a mortality rate of 20%.Case Report: In this report, we present the case of a patient who was brought by ambulance to the emergency department with sudden onset of confusion, which was eventually diagnosed as cerebral malaria. Conclusion: In patients presenting with confusion, obtaining detailed and repetitive history can be life-saving

Keywords:

Consciousness, fever, malaria,

PDF

___

Cooke JL, Barsan WG. Altered Mental Status and Coma. In: Barton ED, Collings JL, DeBlieux PM, Gisondi MA, Nadel ES, Editors. James G. Adams. Emergency Medicine. Canada: Saunders Elsevier: 2008: p. 101-5.
Huff JS. Confusion. In: Marx J, Hockberger R,Walls R. Editors. Rosen’s Emer- gency Medicine 7th Ed. Philadelphia: Mosby Elsevier; 2010: p. 1056-62.
Szela JL, Tayali JY, Band JD. Malaria. In: Tintinalli JE, Stapczynski JS, Ma OJ, Cline DM, Cydulka R, Meckler GD Editors. Tintinalli’s Emergency Medici- ne, 7th Ed. A Comprehensive Study Guide. United States: McGraw Hill Companies: 2011: p.1056-62.
Greenwood BM, Bojang K, Whitty CJ, Targett GA. Malaria. Lancet 2005; 365: 1487-98. [CrossRef]
Greenwood BM, Fidock DA, Kyle DE. Malaria: progress, perils, and pros- pects for eradication. J Clin Invest 2008; 118: 1266-76. [CrossRef]
Cox-Singh J, Davis TM, Lee KS. Plasmodium knowlesi malaria in humans is widely distributed and potentially life threatening. Clin Infect Dis 2008: 46: 165-71. [CrossRef]
World Health Organization (WHO): International Travel and Health, 2009. Geneva 8. Available at: http://whqlibdoc.who.int/publicati- ons/2009/9789241580427_eng.pdf. [CrossRef]
Dorsey G, Ghandhi M, Oxygi JH. Difficulties in the prevention, diagnosis and treatment of imported malaria. Arch Intern Med 2000; 160: 2505-10. [CrossRef]
Freedman D.O, Malaria prevention in short term travelers. N Engl J Med 2008; 359: 603-12. [CrossRef]
Centers for Disease Control and Prevention: Malaria deaths following inappropriate malaria chemoprophylaxis—United States. MMWR Morb Mortal Wkly Rep 2001; 50: 597. http://www.ncbi.nlm.nih.gov/pub- med/1147652.