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Introduction
Case1:
Vomiting
Case 2:
Cough & fever
Case 3: Bruising
Case 4: Sore
throat
Case 5: Jaundice
Case 6: Flu & fever
Case 7: Diarrhea
Case 8: Black
Robe
Case 9: Back Pain Catching the
beast
Thanks to
Quiz
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Dr. BS has malaria,
and he's experiencing significant hemolysis.
- What he neglected to say was that
as soon as he got home, he stopped taking his malaria prophylaxis.
- He mistakenly thought that when he left
the malaria area he was safe.
- The anti-malarial medications typically
work at one phase of the life-cycle.
- Since the bug is going through several
phases in us, it takes a number of doses, over time, to be sure they've all
been killed.
- The prophylaxis doesn't prevent us from
acquiring the Plasmodia organism, it just kills them on a regular
basis.
- It's essential to take the medication prophylactically for at least
6 weeks after leaving the malaria endemic
area.
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- The structure to the right was also seen.
- This is a gametocyte of P. falciparium.
- This dude is a lot sicker than he
looks.
- The degree of hemolysis could
potentially cause his kidneys to quit working. (Urinalysis?)
- Infected RBCs stick to endothelial cells,
- Leading to capillary occlusion,
- Causing micro-infarcts (brain, kidneys...)
- This is the cause of 'cerebral malaria.'
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So, what happened to Dr. BS?
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