Pediatric Infection and Vaccine

The Korean Society of Pediatric Infectious Diseases (대한소아감염학회)
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Blackwater Fever Followed by Severe Falciparum Malaria in a Child

중증 열대열 말라리아에 합병한 흑수열 소아 1예

  • Yang, Song I (Department of Pediatrics, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Choe, Young June (Department of Pediatrics, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Lee, Hoan Jong (Department of Pediatrics, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Choi, Eun Hwa (Department of Pediatrics, Seoul National University Hospital, Seoul National University College of Medicine)
  • 양송이 (서울대학교 의과대학 서울대학교병원 소아청소년과) ;
  • 최영준 (서울대학교 의과대학 서울대학교병원 소아청소년과) ;
  • 이환종 (서울대학교 의과대학 서울대학교병원 소아청소년과) ;
  • 최은화 (서울대학교 의과대학 서울대학교병원 소아청소년과)
  • Received : 2016.09.12
  • Accepted : 2016.10.19
  • Published : 2017.08.25
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Abstract

Blackwater fever is a serious clinical syndrome manifested by acute intravascular hemolysis, fever, and the passage of black or red urine, which is classically associated with falciparum malaria and irregular administration of quinine. In Korea, Plasmodium vivax is the only endemic malaria circulating; a number of imported cases of falciparum malaria have been reported in patients following return from international travel to a malaria endemic area. Therefore, it is important for health care professionals including pediatricians to be aware of the falciparum malaria and its clinical courses. Herein, we report a case of a 14-year-old girl with severe falciparum malaria that was complicated by blackwater fever.

흑수열은 급성 혈관 내 용혈, 발열과 검붉은색 소변 등의 증상을 보이는 증후군으로, 말라리아 및 불규칙적인 키닌의 투약과 관련 있는 것으로 알려져 있다. 국내에서는 삼일열 말라리아만 발생하고 있으나, 최근 말라리아 유행지역을 여행한 해외여행객들로부터 열대열 말라리아의 해외 유입 보고가 증가하고 있다. 따라서 의료진들은 열대열 말라리아와 그 합병증에 대해 알 필요가 있다. 본 증례는 쇼크를 동반한 중증 열대열 말라리아 이후에 흑수열이 합병한 14세 여자에 대해 보고하는 바이다.

Keywords

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