DISEASES OF THE BLOOD SYSTEM : BLACKWATER FEVER - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
Etiology and pathogenesis is not always uslovima. In some cases, the fever has been observed in patients suffering from tropical malaria. Sometimes fever occurs after treatment with Hina. Distributed mainly in low, swampy areas, where malaria foci.
Symptoms. Sudden onset stunning chills, alternating with the temperature increase up to 39-40º, vomiting, General razbitosti. Already in the first hours of the disease noted the appearance of bloody urine is dark beer. Sometimes there is complete anuria. Jaundice appears. Urine has a lot of protein, in the sediment - granular disintegration of red blood cells, granular cylinders, the cells of the renal epithelium. By a spectroscope in the urine is hydroxy or methemoglobin.
Over and prediction. Sometimes death occurs in the first days of the disease, in other cases, patients die in the phenomenon of uremia. Anemia in such cases does not have time to develop. In rare cases there is a recovery.
Recognition - based sloenogo.
Peace, drip of glucose in the form of enemas, heart (camphor, caffeine). Transfusion of blood 100-200 ml re, antimalarial treatment.