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Abstract

RÉSUMÉ
La gangrène périphérique symétrique (GPS) est définie comme une lésion ischémique distale symétrique sur deux sites ou plus en l'absence d'obstruction des gros vaisseaux. Elle est rarement associée au paludisme. Nous rapportons un cas de GPS compliquant une infection à Plasmodium falciparum chez une fillette de 3 ans vivant en zone endémique. L’examen clinique initial révélait une hyperthermie, un Blantyre coma score à 3, une détresse respiratoire, une stabilité hémodynamique, une hépatomégalie douloureuse et une acrocyanose des 4 extrémités. L’hyperparasitémie devrait attirer l’attention des praticiens en charge des patients atteints de paludisme afin d’être à l'affût de la GPS.


ABSTRACT
The symmetrical peripheral gangrene (SPG) is defined as a symmetrical ischemic distal lesion on two sides or more when there is no obstruction of great vessels. It is scarcely related to malaria. We deal with a case of SPG complicating an infection of Falciparum plasmodium on a 3 years old girl living in an endemic area. Physical examination highlighted a hyperthermia, a Blantyre coma score at 3, a respiratory distress, a hepatomegalic pain and an acrocyanosis of the 4 extremities. Hyperparasitemy should raise doctor’s awareness on the hospital care of patients suffering from malaria in order to avoid SPG.

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Nze Obiang, P. C. (2021). Paludisme Sévère à Plasmodium Falciparum Compliqué d’une Gangrène Périphérique Symétrique chez un Enfant Africain en Zone Endémique: Severe plasmodium falciparum malaria complicated by a symmetrical peripheral gangrene on an African child from an endemic area. HEALTH SCIENCES AND DISEASE, 22(8). https://doi.org/10.5281/hsd.v22i8.2818
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