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.