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Malaria in children in Chicago

B Emanuel1, N Aronson, S Shulman

  • 1Department of Pediatrics, Northwestern University Medical School, Chicago, IL.

Pediatrics
|July 1, 1993
PubMed
Summary

Pediatric malaria cases are rising due to immigration and travel. Early diagnosis and prompt treatment are crucial for febrile children, especially those with splenomegaly, to prevent severe illness.

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Area of Science:

  • Pediatric infectious diseases
  • Tropical medicine
  • Epidemiology of parasitic diseases

Background:

  • Malaria diagnosis in children presents challenges in non-endemic regions.
  • Increased global travel and immigration contribute to imported pediatric malaria cases.
  • Delayed diagnosis can lead to prolonged hospitalization and suboptimal outcomes.

Purpose of the Study:

  • To review the clinical experience of diagnosing childhood malaria in Chicago hospitals.
  • To identify factors contributing to delayed diagnosis and treatment of pediatric malaria.
  • To inform healthcare providers about the increasing incidence of pediatric malaria.

Main Methods:

  • Retrospective medical record review.
  • Analysis of pediatric cases diagnosed with malaria between 1985 and 1990.
  • Inclusion of data from a large children's hospital and two community hospitals.

Main Results:

  • Twenty cases of pediatric malaria were identified over a 6-year period.
  • Commonly misdiagnosed conditions included malignancy, typhoid fever, appendicitis, and UTIs.
  • Delayed diagnosis was often linked to failure to elicit travel or immigration history early.

Conclusions:

  • Pediatricians must maintain a high index of suspicion for malaria in febrile children, particularly those with immigration or travel history.
  • Antimalarial prophylaxis education for families traveling to endemic areas is essential.
  • Prompt recognition and treatment are vital for improving outcomes in childhood malaria.

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