Some souvenirs from abroad are not welcome. A woman from Bruntálska after her stay in Uganda knew herself and did not forget to visit this exotic country.
Silesian Hospital in Opava. Illustrative photo.Photo: DENK / Klára Jarošová
The infectious department of the Silesian Hospital has made another notable notch in its notoriety. His experts are treating a forty-year-old patient from Bruntál, who brought a visit to Uganda in late summer in addition to the memories of the most difficult form of malaria. She ended up in the infectious department of the Opava hospital and, after cure, she returned home, but she had to return to the hospital fourteen days ago. Her brain probably affected the post-malarial neurological syndrome, which is a peculiar thing, because in the Czech Republic a similar case was not yet described. Surprised are doctors too. "The lady had to vaccinate us against yellow fever and jaundice before leaving for Africa. We repeatedly advised her to use antimalarials, but she declined to be in Africa for only ten days, "recalls the Chief of Infectious Diseases, Petr Kümpel. If she had obeyed her, she'd save a lot of trouble. He only dived into the jungle and indigenous villages once, but it was enough for insect bites.
After a few days of her return to the Czech Republic, fever and high fever suffered from it. She realized it might be malaria, and she headed straight to the Silesian hospital. It was malaria, and in the most serious form of Malaria tropica, which is directly dangerous to life. Every year, about two million people die in the world. "Due to the good condition of the patient, we managed to beat the disease fairly quickly, and at the end of September we released it home after the spill of the antimalarials," says Kümpel. But malaria did not give up. A few weeks later, the wife brought her husband into a hospital with disoriented mental hallucinations. "She was taken to an intensive care unit and went through a series of abortions that excluded dengue fever, tickling, tick encephalitis and other infections. When reading the literature on malaria, we have come across the information that there is post-malarial neurological syndrome that may have exactly these manifestations. Our female patient is probably the first in the country to suffer from this syndrome. Its essence is the patient's autoimmune system, which can trigger this condition in the body after malaria, "explains Kümpel.
Nobody wants it
In spite of the initial hopeless situation, fortunately the women have managed to reverse the unfavorable situation and is now fully oriented. If everything goes well, she could come back home over the next week.
"I can not describe what I was experiencing, and some of the scenes were scary. I could not tell what was true and what was not. I remember dealing with my oldest daughter at my hospital bed when she was not really in my office. I do not want to experience it to anyone, "says the unfortunate patient of her experiences. She works as a caregiver and she is used to helping sick people herself. The care of the team of medical staff at the Infectious Diseases can not be approved. The worst is obviously out there, but the question remains how her brain will respond to drug withdrawal.