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[Malaria in childhood. Report of 26 cases]
M J Cilleruelo Ortega1, M J Mellado Peña, G Barreiro Casal
1Servicio de Pediatría, Instituto Nacional Carlos III, Madrid.
Abstract:
It's known that there has been a resurgence of malaria in the world. Purpose of this article is to point out the increase in number of cases of imported malaria in children in Spain. Authors performed a clinical study and review up to date treatment and prophylaxis of the disease. They communicate cases of three children infected by Plasmodium falciparum resistant to chloroquine, proceeding from areas that up to one year ago were considered to be not resistant. Data published on prevention and selective primary health care of malaria in the world are revised.
Insights
Imported malaria cases in children are rising globally, with new chloroquine-resistant Plasmodium falciparum strains emerging in previously unaffected areas of Spain. This highlights the urgent need for updated malaria prevention and treatment strategies.
Area of Science:
- Tropical medicine
- Pediatric infectious diseases
- Global health epidemiology
Context:
- Global resurgence of malaria cases.
- Increasing incidence of imported malaria in pediatric populations within Spain.
- Emergence of Plasmodium falciparum strains resistant to chloroquine in previously non-resistant regions.
Purpose:
- To highlight the rise in imported malaria cases among children in Spain.
- To present clinical cases of Plasmodium falciparum malaria resistant to chloroquine in pediatric patients.
- To review current treatment and prophylaxis guidelines for malaria.
Summary:
- A clinical study and literature review focusing on imported malaria in Spanish children.
- Documentation of three pediatric cases infected with chloroquine-resistant Plasmodium falciparum from areas recently identified as resistant.
- Revision of global malaria prevention and primary healthcare strategies.
Impact:
- Informs clinicians about the changing patterns of drug resistance in imported malaria.
- Underscores the need for updated diagnostic and treatment protocols for pediatric malaria.
- Contributes to global efforts in malaria control and elimination by highlighting emerging resistance threats.