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[Descriptive study of malaria cases in the paediatric population in a reference hospital in Valencia, Spain, between
John Helmut Ramírez Cuentas1, Andrea Urtasun Erburu2, Mireia Roselló Guijarro2
1Servicio de Pediatría, Hospital Quirón, Valencia, España; Servicio de Pediatría, Centro de Salud de Gandía, Gandía, Valencia, España.
Insights
Paediatric malaria remains prevalent due to immigration and travel. Early diagnosis and treatment are crucial for favourable outcomes in children with malaria.
Area of Science:
- Infectious Diseases
- Paediatric Medicine
- Tropical Medicine
Background:
- Malaria is a significant cause of infant mortality globally.
- Recent immigration and international travel contribute to malaria prevalence in non-endemic regions.
- Prompt recognition of malaria is vital in febrile children with relevant travel history.
Purpose of the Study:
- To analyze paediatric malaria cases treated at La Fe Hospital, Valencia, from 1993 to 2015.
- To describe the epidemiological characteristics, clinical presentation, and treatment outcomes of childhood malaria.
- To highlight the importance of considering malaria in the differential diagnosis of febrile children.
Main Methods:
- Retrospective and descriptive study design.
- Inclusion of all paediatric malaria cases (under 15 years) confirmed and treated.
- Data collection on patient demographics, origin, prophylaxis, causative species, complications, and treatment.
Main Results:
- 54 paediatric malaria cases were identified between 1993 and 2015.
- The majority of cases originated from Equatorial Guinea, with Plasmodium falciparum being the most common species.
- While 13% of patients had complicated malaria, all cases showed a favourable clinical response with no reported deaths or significant side effects.
Conclusions:
- Paediatric malaria continues to be a relevant public health issue, influenced by migration patterns.
- Effective treatment strategies led to universally positive clinical responses.
- Malaria should be strongly suspected in febrile children with a history of travel to or residence in endemic areas.
Introduction:
Malaria is considered to be the fourth leading cause of infant mortality after pneumonia, complications related to premature birth, and perinatal asphyxia.
Material And Methods:
A retrospective and descriptive study of cases of malaria confirmed and treated by the Paediatric Infectious Diseases Unit (age lower than 15 years) at the La Fe Hospital, Valencia, over the period 1993 to 2015.
Results:
A total of 54 cases of paediatric malaria were diagnosed in the period 1993-2015, with 51.8% of these occurring in males, and 46.2% of patients were aged below 5 years. The majority of children came from Equatorial Guinea (68.5%). Only 5.6% had received antimalarial prophylaxis. Plasmodium falciparum was found to be the causal species in 81.4% of cases. Seven patients (13%) presented with complicated malaria. The most widely used treatment was quinine, either alone or in combination with other drugs. Atovaquone/proguanil was used from 2010 onwards and was indicated in 20.3% of the patients. The combination of artesunate/piperaquine/dihydroartemisinin began to be used in 2013. No deaths or relevant side effects were reported, and the clinical response was favourable in all children (100%).
Conclusions:
Malaria is still a prevalent disease in this population, a consequence of immigration, and tourism to endemic countries. Malaria should be considered as a likely diagnosis in a febrile child who comes from, or has travelled to, an endemic region in the past year.
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