Imported malaria in the last five years in Republic of Moldova
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PLĂCINTĂ, Gheorghe, PÂNTEA, Victor, COJUHARI, Lilia, CEBOTARESCU, Valentin, SAVIN, Gheorghe, PAIU, Ana. Imported malaria in the last five years in Republic of Moldova. In: Perspectives of the Balkan medicine in the post COVID-19 era: The 37th Balkan Medical Week. The 8th congress on urology, dialysis and kidney transplant from the Republic of Moldova “New Horizons in Urology”, Ed. 37, 7-9 iunie 2023, Chişinău. București: Balkan Medical Union, 2023, Ediția 37, p. 160. ISSN Print: ISSN 1584-9244 ISSN-L 1584-9244 Online: ISSN 2558-815X.
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Perspectives of the Balkan medicine in the post COVID-19 era
Ediția 37, 2023
Congresul "Perspectives of the Balkan medicine in the post COVID-19 era"
37, Chişinău, Moldova, 7-9 iunie 2023

Imported malaria in the last five years in Republic of Moldova


Pag. 160-160

Plăcintă Gheorghe1, Pântea Victor1, Cojuhari Lilia1, Cebotarescu Valentin1, Savin Gheorghe12, Paiu Ana21
 
1 ”Nicolae Testemițanu” State University of Medicine and Pharmacy,
2 Toma Ciorba Clinical Hospital of Infectious Diseases
 
 
Disponibil în IBN: 22 decembrie 2023


Rezumat

Introduction. Currently, malaria continues to be a pathology with a major impact worldwide due to the intense migration of the population. Methods. A retrospective and prospective study was conducted on malaria cases, hospitalized in the "Toma Ciorbă" Clinical Hospital for Infectious Diseases in the last 5 years. Results. Over the last 5 years, 14 cases of imported malaria were registered in the Republic of Moldova: in 2018 – 1 case, in 2019 – 3, in 2021 – 3, in 2022 – 7. Of the 14 patients, 3 were with Pl.ovale, and 11 with Pl. Falciparum. Malaria patients contacted the disease in West and South Africa. Only 4 recieved chemoprophylaxis, and developed the medium form of disease. Patients requested medical assistance on average at 5.57±0.91 days with symptoms: fever 38°-40°C, chills, sweating, asthenia, muscle pain. Parasitological examination revealed the presence of parasitemia with Pl. falciparum between 720 and 1,520,000/mkl of blood. The evolution of the disease was medium in 6 patients, and in 8 patients - severe. Clinical examination revealed: hepatomegaly in 8 patients, splenomegaly in 4, pneumonia in 6 and 2 patients - cerebral edema, accompanied by polyorganic failure, which death. The biological tests: hypertransaminasemia – 8 patients, anemia - 2, thrombocytopenia - 11. The treatment consisted of combined antimalarials. The average duration of hospitalization was 6 days. Recurrences of malaria were determined in 5 patients. Conclusion. Chemoprophylaxis is important to prevent severe forms and the precocity of treatment determines the evolution of disease; the frequency of relapses is relatively high.