Periodic chills, fever, sweating, and fever

Introduction Typical malaria symptoms are mostly periodic episodes, which are characterized by intermittent episodes of cold and heat. Usually there is a clear chill in the attack, the whole body is shaking, pale, lips cyanosis, chills last about 10 minutes to 2 hours, then the body temperature rises rapidly, often up to 40 ° C or higher, complexion flush, dry skin, irritability After the high fever lasts for about 2 to 6 hours, the whole body is sweating and the body temperature drops below normal or normal after sweating. After a period of intermittent period, the above intermittent intermittent chills and high fever episodes were repeated.

Cause

It is caused by Plasmodium infection.

an examination

Related inspection

Body temperature measurement of Plasmodium antibodies and antigens

Mainly to find malaria parasites, usually found to be diagnosed.

Differential diagnosis

Sepsis: malaria is aroused by high fever, heat-type retention or relaxation, similar to sepsis. However, the symptoms of systemic poisoning in sepsis are severe; there are focal inflammation or metastatic suppurative lesions; the total number of white blood cells and neutrophils are increased; blood culture can have pathogen growth.

Leptospirosis: The prevalence of this disease is mostly in the autumn harvest season, and it is closely related to the participation in the autumn harvest. The typical clinical symptoms of "cold fever, soreness, and red eyes and lymph nodes" are available for identification.

Filariasis: Acute filariasis sometimes needs to be differentiated from malaria, and the identification mainly depends on ectopic lymphangitis, and microfilariae are found in the blood.

Typhoid fever, paratyphoid fever: general onset is not urgent, persistent high fever, often no chills and sweating, hearing loss, relatively slow pulse, rose rash, leukopenia, disappearance of eosinophils, positive reaction to fat, blood or bone marrow culture Positive and other characteristics, not difficult to identify.

Acute schistosomiasis: from epidemic areas, recently exposed to contaminated water, rash, eosinophils increased significantly, schistosomiasis skin test positive, stool incubation positive, can be diagnosed as schistosomiasis.

Others: such as miliary tuberculosis, long-term fever caused by biliary tract infection should also pay attention to identification.

Cerebral malaria: This disease is easily confused with epidemic encephalitis, toxic dysentery, and heat stroke. It is often necessary to look carefully for the malaria parasite. Toadstools should also be used for routine and culture. For a while, you can use antimalarial drugs to wait for the results.

Black urine heat: should be differentiated from acute hemolytic anemia, such as Hudouhuang; paroxysmal hemoglobinuria.

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