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患儿马某,女,5岁。于1989年7月19日因患“脓毒血症”入院。血检:Hb80g/L,RBC3.15×10~(12)/L,WBC4.02×10~9/L,L0.04,N0.96。手术前后即7月22日、29日和8月9日三次输父血共300ml,抗菌素治疗,术后热型正常。8月3日突然体温上升至41.5℃,始感畏寒、继高烧、出汗,检查伤口无继发感染,未查出发热原因,继续抗菌素治疗无效,仍间日中午2～3时定期发作,每次发作持续2～4小时,开始间日一次,后每日发作一次,至8月11日疑似疟疾。病原学检查发现间日疟滋养体,给氯化喹林0.5g,加伯氨喹林30mg痊愈。最后确认输血感染湛疟疾。一个月后随访未复发,
Children with a horse, female, 5 years old. On July 19, 1989 due to suffering from “sepsis” admission. Blood tests: Hb80g / L, RBC3.15 × 10 ~ (12) / L, WBC4.02 × 10 ~ 9 / L, L0.04, N0.96. Before and after surgery on July 22, 29 and August 9, three times a total fatality of 300ml father, antibiotic treatment, postoperative heat type is normal. August 3 suddenly body temperature rose to 41.5 ℃, initially felt chills, following a high fever, sweating, check the wounds without secondary infection, did not find the cause of fever, to continue antibiotic treatment is still valid at noon 2 to 3 pm regular seizures , Each episode lasts 2 to 4 hours, starts once daily, and then attacks once daily until August 11 to be suspected of malaria. Etiological examination found that P. vivax trophozoites to quinolone 0.5g, gabatrazine quinoline 30mg healed. Finally confirmed transfusion infection Cham malaria. Follow-up after a month did not relapse,