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Automated Erythrocyte Exchange in Fulminant Falciparum Malaria

JOE C. FILES, M.D.; C. JEFF CASE, L.P.N.; and FRANCIS S. MORRISON, M.D.
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University of Mississippi School of Medicine; Jackson, Mississippi


© 1984 American College of PhysiciansAmerican College of Physicians


Ann Intern Med. 1984;100(3):396-397. doi:10.7326/0003-4819-100-3-396
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With increasing travel to endemic areas and negligent prophylaxis, the number of gravely ill patients with malaria in this country is increasing (1). Prompt, effective treatment is essential if these patients are to survive. Blood cell separators offer new approaches to management of many diseases. We describe the effective use of a separator in the treatment of overwhelming falciparum malaria.

A 40-year old white man was seen 4 days after he had returned from the Sudan, where he had worked for 28 days. He had not had malarial chemoprophylaxis. Fever, myalgia, and easy fatigability had begun before he returned to

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