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수학여행 후 발생한 Plasmodium vivax 말라리아 1례

A case of Plasmodium vivax malaria occurring during a school excursion to Pocheon-gun

  • 곽병옥 (건국대학교 의학전문대학원 소아청소년과) ;
  • 정소정 (건국대학교 의학전문대학원 소아청소년과) ;
  • 김교순 (건국대학교 의학전문대학원 소아청소년과)
  • Kwak, Byung Ok (Department of Pediatrics, School of Medicine, Konkuk University) ;
  • Chung, Sochung (Department of Pediatrics, School of Medicine, Konkuk University) ;
  • Kim, Kyo Sun (Department of Pediatrics, School of Medicine, Konkuk University)
  • 투고 : 2009.06.10
  • 심사 : 2009.10.05
  • 발행 : 2010.01.15

초록

말라리아는 Plasmodium species의 감염에 의해 생기는 주기적인 발열, 오한, 피로, 빈혈, 비종대를 특징으로 하는 질병이다. 과거 국내에 크게 유행하였던 삼일열 말라리아는 최근 경기도 북부 지역을 중심으로 재유행하고 있고 높은 전염률을 보인다. 저자들은 경기도 포천으로 수학여행을 다녀온 후 고열과 혈소판감소증이 발생한 말라리아 1례를 경험하였다. 환아는 삼일열 말라리아로 진단되어 hydroxychloroquine, primaquine으로 치료받았다. 이에 저자들은 문헌 고찰과 함께 보고하는 바이다.

Malaria caused by Plasmodium species is characterized by paroxysms of fever, chills, fatigue, anemia, and splenomegaly. Vivax malaria has lately re-emerged as an infectious disease and has exhibited high transmission rate in northern Gyeonggi-do province. We encountered a case of malaria in a child presenting with fever and thrombocytopenia who had recently made a school excursion to Pocheon-gun, Gyeonggi-do. The child was diagnosed with Plasmodium vivax malaria and treated with hydroxychloroquine and primaquine. Here, we present this case with a brief review of the literature.

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참고문헌

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