Turkiye'de Import Sitma: Plasmodium falciparum / Plasmodium vivax Miks Enfeksiyonunda Taninin Tedavideki Onemi/Imported Malaria in Turkey: The Importance of Diagnosis and Treatment of Plasmodium falciparum/Plasmodium vivax Mixed Infection

• Published in: Türkiye parazitolojii dergisi 2018-06, Vol.42 (2), p.164
• Main Authors: Tunger, Özlem, Çakmak, Akide, Özbilgin, Ahmet, Tunali, Varol, Çetin, Çigdem Banu
• Format: Article
• Language: English
• Subjects: Care and treatment; Case studies; Diagnosis; Malaria
• ISSN: 1300-6320
• DOI: 10.5152/tpd.2018.5733

Dunyada yaygin olarak görulen sitma turleri Plasmodium vivax (P. vivax) ve Plasmodium falciparum (P. falciparum)'dur. Her iki turun endemik oldugu ulkelerde P. vivax ve P. falciparum koenfeksiyonu da görulebilmektedir. Bu nedenle Turkiye'de görulen ve bu ulkelere seyahat öykusu olan olgularda miks sitma olasiligi mutlaka akilda bulundurulmalidir. Bu olgu sunumunda Etiyopya'da P. falciparum sitma tanisi konulan, ancak buna yönelik yetersiz tedavi uygulanan ve P. vivax sitma tanisi atlandigi için hipnozoidlere etkili bir ilaç verilmediginden nuks gelisen P. vivax/P. falciparum miks enfeksiyonu sunulmustur. Olgu, sitma tedavisinde dogru tani konmasi, uygun doz ve surede tedavi uygulanmasi ve hastalik seyrinin yakin takibinin öneminin vurgulanmasi amaci ile sunulmustur. Anahtar Sözcukler: Plasmodium vivax/Plasmodium falciparum miks enfeksiyonu, import sitma, tedavi, Turkiye The most common types of malaria in the world are Plasmodium vivax and P. falciparum. In countries where both species are endemic, P. vivax and P. falciparum coinfection also occurs. Thus, the possibility of mixed malaria in Turkey should always be considered in cases with a traveling history to these countries. Here, we report a case of P. vivax/P. falciparum mixed infection that was diagnosed as P. falciparum malaria in Ethiopia. However, the administered treatment was inadequate, and infection recurred because of the miss in the diagnosis of P. vivax malaria, for which an effective drug for hypnozoites was not administered. This case report emphasizes the importance of diagnosis, correct and adequate treatment of infections, and a close follow-up of diseases. Keywords: Imported malaria, Plasmodium vivax/Plasmodium falciparum mixed infection, treatment, Turkey