[Apropos of 2 cases of severe malaria contracted in the port of Marseille].
Acute Plasmodium falciparum malaria occurred during summer 1993 in two inhabitants living close to Marseille harbour. History of blood transfusion and travel outside France were excluded as was also discarded airport malaria. Entomological investigations confirmed the absence of Anopheles breeding sites in the port area. An hypothesis is a vectorial transmission following introduction of one or several anopheles arrived on a ship coming from tropical Africa. During this season, the weather conditions were favourable to the survival of anopheles and the completion of P. falciparum sporogonic cycle. Physicians were advised to take into consideration malaria in the differential diagnosis of fever from unknown origin in any patient working or living inside or around the harbour area regardless history of previous travel in malaria endemic region.
Delmont
J
J
Service des Maladies tropicales et infectieuses, Hôpital Houphouët. Boigny, Marseille.
Brouqui
P
P
Poullin
P
P
Pouymayou
C
C
Faugere
B
B
Ottomani
A
A
Gabriel
B
B
Bourgeade
A
A
D000368:Aged; D000818:Animals; D000852:Anopheles; D005260:Female; D005602:France; D006801:Humans; D007303:Insect Vectors; D016778:Malaria, Falciparum / Q000175:diagnosis* / Q000635:transmission*; D008297:Male; D008522:Mediterranean Sea; D008875:Middle Aged; D010963:Plasmodium falciparum / Q000254:growth & development; D012767:Ships