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Sleeping sickness: The consequence of inappropriate diagnosis flow chart in case report

机译：昏睡病：病例报告中不正确的诊断流程图的结果

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Sleeping sickness is a vector-borne parasitic disease with variable, non-specific and inconstant symptoms. Thus, clinical signs are insufficient for diagnosis. Definite diagnosis relies on evidence demonstration of trypanosome in body fluids through parasitological techniques. For reasons related to costs, workload and technical incapacities, these technics are not always performed and sleeping sickness examination is thus limited to serological and clinical investigations. We report a false alarm due to incorrect diagnosis about a sudden outbreak of sleeping sickness in a focus under control. This report shows that inadequate diagnosis methods can lead to downward and upward errors in the prevalence of a disease. There is a need to reinforce material and technical capacities of health centers in endemic areas.
机译：昏睡病是一种媒介传播的寄生虫病，具有可变的，非特异性的和不稳定的症状。因此，临床体征不足以进行诊断。明确的诊断依赖于通过寄生虫学技术证明体液中锥虫的证据。由于与成本，工作量和技术能力不相关的原因，这些技术并不总是执行的，因此昏睡病检查仅限于血清学和临床研究。我们报告了由于误诊而导致的误报，该误诊是在重点控制下突然爆发了昏睡病。该报告表明，诊断方法不足会导致疾病患病率上下错误。有必要加强流行地区卫生中心的物质和技术能力。

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