Volume 73, Issue 4 (July 2015)
Tehran Univ Med J 2015, 73(4): 308-312 |
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Hajabdolbaghi M, Emadi Kochack H, Salehi M R, Dehghan Manshadi S A, Usefipour M, Motevalli Haghi A. Considering the malaria is essential in a patient with suspected Ebola: case report. Tehran Univ Med J 2015; 73 (4) :308-312
URL: http://tumj.tums.ac.ir/article-1-6742-en.html
URL: http://tumj.tums.ac.ir/article-1-6742-en.html
Mahboobeh Hajabdolbaghi1 
, Hamid Emadi Kochack1 , Mohammad Reza Salehi * 2, Seyed Ali Dehghan Manshadi1 , Mehdi Usefipour1 , Afsaneh Motevalli Haghi3
, Hamid Emadi Kochack1 , Mohammad Reza Salehi * 2, Seyed Ali Dehghan Manshadi1 , Mehdi Usefipour1 , Afsaneh Motevalli Haghi3
1- Department of Infectious diseases and tropical Medicine, Tehran University of Medical Science, Tehran, Iran.
2- Department of Infectious diseases and tropical Medicine, Tehran University of Medical Science, Tehran, Iran. , salehi.mohamad3@gmail.com
3- Department of Parasitology, Te-hran University of Medical Science, Tehran, Iran.
2- Department of Infectious diseases and tropical Medicine, Tehran University of Medical Science, Tehran, Iran. , salehi.mohamad3@gmail.com
3- Department of Parasitology, Te-hran University of Medical Science, Tehran, Iran.
Abstract: (5005 Views)
Background: One of the main reasons of hemorrhagic fevers is Ebola. The high rate of mortality and lack of definite treatment have been caused this infection to be a serious problem in the world. Ebola, especially in the early stages, when causes symptoms such as fever, anorexia and nausea, can be confused with malaria infection and conversely, severe malaria with Ebola. Plasmodium falciparum is an important cause of severe malaria that more than other types of plasmodium confused with Ebola.
Case presentation: The patient is a 54-year-old man who had gone to Sudan about 8 months ago. The patient reported that fever, chills and headache had been started one week before traveling from Sudan to Iran and hematuria was added to his symptoms in third week of illness in Iran. He was referred to the emergency department with probable diagnosis of Ebola. Plasmodium falciparum gametocytes were revealed in his peripheral blood smear. Finally, he was treated with Coartem (artemether/lumefantrine) for malaria and after clinical improvement discharged to home with good condition.
Conclusion: Ebola should be suspected in every patient with fever and a history of traveling to endemic areas. Considering the fact that in most areas where Ebola is endemic also malaria is common, lack of clinical suspicion to malaria causes that clinicians mistake malaria with Ebola. Necessary laboratory tests to rule out important differential diagnoses in patients with suspected Ebola virus contains: Peripheral blood smear for malarial parasite and blood culture and blood cell counts to investigate typhoid fever and other bacterial infections. Therefore, malaria should be considered as an important differential diagnosis in every patient suspected with Ebola.
Type of Study: Case Report |
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