4 Conclusion and Results
To stabilize the patient’s condition, he was hospitalized and
administered a bolus of normal saline, which significantly improved his
hemodynamic status. Continued hydration was maintained, and both
clinical indicators and laboratory parameters began to show marked
improvement. The treatment protocol included the initiation of
artesunate injections at a dosage of 2.4 mg/kg/dose. The first injection
was administered upon admission, followed by subsequent doses at 12
hours and 24 hours post-admission. This was followed by once-daily
injections for three additional days, after which the patient
transitioned to an oral regimen of an artemisinin-based combination
therapy.
Two weeks post-discharge, the patient reported no residual symptoms, and
follow-up laboratory tests indicated that all parameters had returned to
normal ranges, confirming full recovery. This case underscores the
complexity and importance of thorough diagnostic investigation in
patients presenting with febrile illnesses, particularly in regions
where multiple vector-borne diseases coexist.