RESUMO
A cross-sectional study explored the clinical and laboratory aspects of malaria among children presenting with fever to 2 paediatric hospitals in Khartoum state during the low transmission season. Out of 655 febrile patients, 35.9% were recorded as having malaria based on hospital laboratory results. However, re-examination of slides at the National Malaria Control Programme referral laboratory confirmed malaria in only 32.8% of those diagnosed with malaria at hospital level. Analysis of symptoms and signs revealed great variability in clinical presentation. Although some findings were associated with malaria, developing a sensitive clinical algorithm was difficult. Further investment is needed to improve microscopic diagnosis facilities in local hospitals to overcome the problem of over-diagnosis of malaria.
Assuntos
Febre/parasitologia , Malária Falciparum/complicações , Malária Falciparum/diagnóstico , Adolescente , Algoritmos , Estudos de Casos e Controles , Criança , Pré-Escolar , Estudos Transversais , Erros de Diagnóstico/prevenção & controle , Erros de Diagnóstico/estatística & dados numéricos , Diarreia/parasitologia , Dor de Orelha/parasitologia , Diagnóstico Precoce , Transtornos da Alimentação e da Ingestão de Alimentos/parasitologia , Hepatomegalia/parasitologia , Hospitais Pediátricos , Hospitais de Ensino , Hospitais Urbanos , Humanos , Lactente , Malária Falciparum/epidemiologia , Malária Falciparum/transmissão , Estações do Ano , Esplenomegalia/parasitologia , Sudão/epidemiologia , Inquéritos e Questionários , Transtornos Urinários/parasitologiaRESUMO
We here report the case of a storage mite, Sancassania berlesei, infestation in the external auditory canal of a 46-yr-old male. He complained of feeling a foreign body and itching in the left external auditory canal for 1 mo, with accompanying otalgia for 3 days. Considering the duration of the patient's complaint and the 8-9-day life cycle of the mite, the mites are believed to have lived in the patient's ear for more than 3 generations.