Sago Haemolytic Disease: A Case Due to Climate-Induced Food Insecurity in Western Province, Papua New Guinea

Tropical Medicine and Infectious Disease

article

Mikaela Seymour¹ 

[1] Rural Medical Education Australia, Middle Fly District

关键词: sago palm;    haemolytic disease;    clinical treatment;    low-resource medicine;    tropical medicine;    Papua New Guinea;    Western Province;   

DOI  :  10.3390/tropicalmed6040190

学科分类：社会科学、人文和艺术（综合）

来源: mdpi

【 摘 要 】

Sago haemolytic disease (SHD) is a rare but significant condition presenting in sago starcheating populations in Western Province, Papua New Guinea. Although rare, case fatality rates are high, and no known antidote is available. The exact cause of the disease is unknown, but it is believed to be secondary to mycotoxins produced by fungi in old sago. In this case report, a 50-year-old female was treated in a low-resource setting in Middle Fly, with fluid resuscitation and transfusion, making a full recovery without complications. The mainstay of treatment for SHD is intravenous fluid resuscitation and strict fluid balance, which can be achieved in even the most remote Western Province aid post. Increased food insecurity, secondary to climate change, may see the incidence of this condition increase. Therefore, all health workers in Western Province should be comfortable with fluid resuscitation and fluid balance practices.

【 授权许可】

CC BY