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Infektiologie > 15. Malaria > Flashcards

15. Malaria Flashcards

1
Q

(Malaria)

Erreger

A

Plasmodium

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2
Q

(Malaria)

Formen

A
  • quartana
  • tertiana
  • tropica
  • Knowlesi
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3
Q

(Malaria)

Malaria quartana: Erreger

A

Plasmodium malariae

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4
Q

(Malaria)

Malaria tertiana: Erreger (2)

A
  • Plasmodium ovale
  • Plasmodium vivax
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5
Q

(Malaria)

Malaria tropica: Erreger

A

Plasmodium falciparum

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6
Q

(Malaria)

Knowlesi-Malaria

A

Plasmodium knowlesi

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7
Q

(Malaria)

Vektor

A

weibliche Anopheles-Mücke (Anopheles gambiae)

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8
Q

(Malaria)

Malaria quartana: Charakteristik

A

periodisches 4-Tage-Fieber alle 72h

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8
Q

(Malaria)

Allgemeinsymptome: V.a. Malaria

A

Reiseanamnese

+ Fieber (nach dem 6. Aufenthaltstag)

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9
Q

(Malaria)

Malaria tertiana: Charakteristik

A

periodisches 3-Tage-Fieber alle 48h

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10
Q

(Malaria)

Malaria tropica und Knowlesi: Charakteristiken (2)

A
  • unregelmäßige FIeberschübe ohne erkennbaren Rhythmus
  • stärkere Symptome und erhöhtes Risiko für komplizierte Verläufe
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11
Q

(Malaria)

organspezifische Symptome (2)

A
  • hepatobiliär: Ikterus, Splenomegalie
  • zerebral: Bewusstseinsstörungen
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12
Q

(Malaria)

Suchtest

A

“dicker Tropfen”

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12
Q

(Malaria)

Labor: Stufendiagnostik (2)

A
  1. Suchtest
  2. Bestätigungstest
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13
Q

(Malaria)

Bestätigungstest

A

Blutausstrich mit Giemsa-Färbung

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14
Q

(Malaria)

Blutausstrich mit Giemsa-Färbung: Beurteilungen (2)

A
  • Beurteilung der Parasitendichte
  • Beurteilung der Parasiten- und Erythrozytenmorphologie
15
Q

(Malaria)

Beurteilung der Parasitendichte (2)

A
  • Befall < 5% der Erythrozyten: unkomplizierte Malaria
  • Befall > 5% der Erythrozyten: komplizierte Malaria
16
Q

(Malaria)

Beurteilung der Parasiten- und Erythrozytenmorphologie (2)

A
  • Schüffner-Tüpfelung bei P. vivax und P. ovale
  • Maurer’sche Fleckung bei P. falciparum
17
Q

(Malaria)

Therapieplanung (2)

A

supportive und antiparasitäre

18
Q

(Malaria)

kontraindiziertes Medikament

A

ASS

19
Q

(Malaria)

antiparasitäre Therapie der Wahl (2)

A
  • Artemether/Lumefantrin

oder

  • Dihydroartemisinin/Piperaquin
20
Q

(Malaria)

Chemoprophylaxe

A

Atovaquon/Proguanil

Infektiologie (17 decks)

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