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从未到过疟疾流行区的1例43岁瑞典人,1984年9月14日从哥德堡来到罗安达以北20km的卡夸科时,每周以300mg氯喹基质作疟疾预防服药。9月30日因持续性发热、头痛和倦怠而被疑为疟疾,未经血片检查服用法西达3片和磷酸氯喹2片(300mg基质)。次日又服法西达2片和氯喹2片。患者于10月4日体温恢复正常。在安哥拉期间定期服法西达及氯喹,10月10日又服上述药物预防疟疾。但10月24日回瑞典时又开始发热而住院。血涂片查到恶性疟原虫,红细胞感染率为2.6%。服用法西达3片,于
A 43-year-old Swede who had never been to a malaria-endemic area took carbamazepine 300 mg weekly for malaria prophylaxis once a week from Gothenburg to Kakákaco, 20 km north of Luanda. September 30 Suspected of malaria due to persistent fever, headache and fatigue, taking 3 faxidac and 2 chloroquine tablets (300 mg matrix) without blood test. The next day, Faxida 2 tablets and chloroquine 2 tablets. The patient returned to normal temperature on October 4. Regularly fastigac and chloroquine were administered during Angola and on October 10, the above-mentioned drugs were also used to prevent malaria. However, on October 24, it returned to Sweden and started feverish and was hospitalized again. Plasmodium falciparum was found on blood smear, and the rate of erythrocyte infection was 2.6%. Take Fascist 3 tablets at