title: It's not a viral syndrome, it's malaria.
abstract: A 27-year-old man was admitted to the hospital with a seven-day history of fever, nausea, vomiting, diarrhea, and pruritic rash. He was not diagnosed as having malaria until a history was obtained of Plasmodium falciparum malaria two years previous to this admission, and a review of the peripheral blood smear confirmed the diagnosis. The patient was admitted for inpatient therapy. He responded well and was discharged on the fourth hospital day to complete the remainder of the therapy as an outpatient. This case is a somewhat atypical presentation and reemphasizes several key points in the prophylaxis, diagnosis, and treatment of malaria.
authors.affiliation: Clinical Investigation Department, Naval Hospital, San Diego, California 92134-5000.
authors.forename: C E
authors.initials: CE
authors.lastname: Klingelberger
mesh_terms: D000328:Adult; D000818:Animals; D003937:Diagnosis, Differential; D005759:Gastroenteritis / Q000209:etiology*; D006801:Humans; D008288:Malaria / Q000175:diagnosis*; D008297:Male; D010963:Plasmodium falciparum; D014777:Virus Diseases / Q000175:diagnosis*