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KMID : 0377219940190010089
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Medical Journal of Chosun Univercity
1994 Volume.19 No. 1 p.89 ~ p.93
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A Case of Chloroquine Resistant Falciparum Malaria with Hemolytic Anemia and Black Water Fever
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Cho Hee-Choong
Kook Ki-Yong
Park Il
Choi Yeon-Soo
Lee Seung-Il
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Abstract
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This previously healthy 26 year-old student was admitted to Cho Sun university hospital due to paroxysmal high fever, dizziness of 2 weeks duration and he also noted passage of dark brownish colored urine of 3 days duration. He had made journey to Africa for 2 months before admission. He had taken chloroquine 1 week before his jurney and continued this weekly throughout his stay. On admission, there was fever of 38.5℃ and numerous parasitemia of ring form of P. falciparum in the peripheral blood smear. On physical examination, he had jaundice and splenomgaly. On laboratory examination, he had jaundice and splenomegaly. On laboratory examination hemoglobin was 5.Og / dl, reticulocytecount was 11%, plasma hemoglobin was 7.5mg /dl and urine hemoglobin was 2.5mg /dl. He received Fansidar on 2nd day of admission. Five days later, his blood was completely clear of parasite and 7th day after admission, all symptoms were almost improved and then he was discharged.
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KEYWORD
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Chloroquine resistant plasmodium falciparum malaria, Hemolytic anemia, Black water fever, Fansidar
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