[Clinical diagnosis of malaria and amoebiasis].

Immunitat und Infektion Pub Date : 1994-04-01
G D Burchard
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Abstract

In all patients with fever after returning from tropical countries malaria must be excluded. Amebic liver abscess is an important differential diagnosis, especially in patients with pain in the right epigastrium. In all patients with diarrhea after returning from tropical countries amebic colitis is an important differential diagnosis. The diagnosis of malaria is based on microscopical demonstration of the parasite in blood slides. In patients with Plasmodium falciparum malaria the extent of organ complications has to be checked. The diagnosis of intestinal amebiasis rests on parasitological stool examination. Amebic liver abscess is diagnosed by demonstration of the liver abscess in imaging techniques and verification by finding specific antibodies.

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疟疾和阿米巴病的临床诊断。
从热带国家返回后出现发热的所有患者必须排除疟疾。阿米巴肝脓肿是一个重要的鉴别诊断,特别是在右上腹疼痛的患者。在从热带国家返回后出现腹泻的所有患者中,阿米巴结肠炎是一项重要的鉴别诊断。疟疾的诊断是基于血液载玻片中寄生虫的显微镜显示。在恶性疟原虫疟疾患者中,必须检查器官并发症的程度。肠道阿米巴病的诊断依赖于粪便寄生虫学检查。阿米巴肝脓肿的诊断是通过肝脓肿的影像学检查和特异性抗体的检测。
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