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Malaria: recent experience in a community.

L F Harris, W J Shasteen, R Lampert

    Southern Medical Journal
    |September 1, 1984
    PubMed
    Summary
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    Malaria is rare in the US but requires consideration in febrile patients with relevant travel or risk factors. Early diagnosis via blood smears and appropriate treatment are crucial for managing this disease.

    Area of Science:

    • Tropical Medicine
    • Infectious Diseases
    • Parasitology

    Background:

    • A global resurgence of malaria is occurring.
    • Drug-resistant malaria strains are emerging.
    • Malaria is infrequently encountered by US physicians.

    Purpose of the Study:

    • To report the experience of 15 malaria cases over five years in the US.
    • To highlight diagnostic considerations for malaria in the US.
    • To emphasize the importance of chemoprophylaxis for travelers.

    Main Methods:

    • Retrospective review of 15 malaria cases.
    • Clinical diagnosis based on patient history (travel, transfusion, drug use).
    • Confirmation by peripheral blood smear microscopy for malaria parasites.

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    Main Results:

    • Fifteen cases of malaria were diagnosed over a five-year period.
    • Diagnosis should be considered in febrile patients with specific risk factors.
    • Treatment protocols depend on malaria species and parasite drug resistance.

    Conclusions:

    • Physicians should maintain a high index of suspicion for malaria in at-risk patients.
    • Prompt diagnosis via blood smears is essential.
    • Chemoprophylaxis is recommended for individuals traveling to malaria-endemic regions.