Features of severe course of tropical malaria with secondary diseases caused by Klebsiella pneumonia (clinical case)
R. B. Oganyan, 
I. V. Roganova,
A. V. Lyubushkina,
G. R. Davlekamova,
D. Yu. Konstantinov,
V. A. Nikonorov
I. V. Roganova,
A. V. Lyubushkina,
G. R. Davlekamova,
D. Yu. Konstantinov,
V. A. Nikonorov https://doi.org/10.20340/vmi-rvz.2024.6.CASE.3
Abstract
Relevance. Imported malaria cases in the Russian Federation are detected annually. In the absence or delayed treatment it can lead to patients´ complications and death.
The aim of the work is to present and analyze a fatal tropical malaria clinical case with secondary diseases caused by Klebsiella pneumoniae.
Materials and methods. The work was carried out on the basis of the clinic and the Department of Infectious Diseases with Epidemiology of Samara State Medical University. A clinical case of tropical malaria severe course in a patient on the 18th disease day admitted in a malarial algid state.
Results. Sepsis, pneumonia, and meningitis were found in a patient with tropical malaria. Klebsiella pneumoniae was isolated from the patient's biomaterials. The development of secondary diseases caused by Klebsiella pneumoniae contributed to the patient's condition worsening and the multiple organ failure progression. The late etiotropic treatment led to the multiple organ failure and patient´ death.
Conclusions. The clinical example demonstrates the vital need for the epidemiological history correct interpretation, malaria early diagnosis and treatment.
About the Authors
R. B. Oganyan
Samara State Medical University
Russian Federation
Competing Interests:
Russian Federation
Robert B. Ohanyan, Cand. Sci. (Med.), infectious disease physician, infectious diseases department of clinics
Chapaevskaya St., 89, Samara, 443099
Competing Interests:
The authors declare that there is no conflict of interest.
I. V. Roganova
Samara State Medical University
Russian Federation
Competing Interests:
Russian Federation
Irina V. Roganova, Dr. Sci. (Med.), Docent, Professor of Department of Infectious Diseases with Epidemiology
Chapaevskaya St., 89, Samara, 443099
Competing Interests:
The authors declare that there is no conflict of interest.
A. V. Lyubushkina
Samara State Medical University
Russian Federation
Competing Interests:
Russian Federation
Anna V. Lyubushkina, Cand. Sci. (Med.). Head of the infectious diseases Department of clinics
Chapaevskaya St., 89, Samara, 443099
Competing Interests:
The authors declare that there is no conflict of interest.
G. R. Davlekamova
Samara Regional Children's Infectious Diseases Hospital
Russian Federation
Competing Interests:
Russian Federation
Gelyara R. Davlekamova, Infectious disease specialist
Shvernika St., 1, Samara, 443029
Competing Interests:
The authors declare that there is no conflict of interest.
D. Yu. Konstantinov
Samara State Medical University
Russian Federation
Competing Interests:
Russian Federation
Dmitriy Yu. Konstantinov, Dr. Sci. (Med.), Docent, Head of the Department of Infectious Diseases with Epidemiology
Chapaevskaya St., 89, Samara, 443099
Competing Interests:
The authors declare that there is no conflict of interest.
V. A. Nikonorov
Samara State Medical University
Russian Federation
Competing Interests:
Russian Federation
Valeriy A. Nikоnorov, Infectious disease doctor, infectious diseases department of clinics
Chapaevskaya St., 89, Samara, 443099
Competing Interests:
The authors declare that there is no conflict of interest.
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Review
For citations:
Oganyan R.B., Roganova I.V., Lyubushkina A.V., Davlekamova G.R., Konstantinov D.Yu., Nikonorov V.A. Features of severe course of tropical malaria with secondary diseases caused by Klebsiella pneumonia (clinical case). Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH). 2024;14(6):117-123. (In Russ.) https://doi.org/10.20340/vmi-rvz.2024.6.CASE.3
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