[Delayed recognition of falciparum malaria from a non-endemic region in the Dominican Republic].
A 28-year-old patient had suffered from fever, headache, abdominal pains and vomiting for the past three weeks. She had visited a region in the Dominican Republic where the risk of malaria is considered to be low. The complaints were initially regarded as a viral infection. Later, however, she was found to have severe falciparum malaria. She recovered completely following antibiotic therapy. Since November 2004, 17 cases of falciparum malaria have been reported world-wide among travellers to non-endemic regions in the Dominican Republic. Physicians should always consider the possibility of malaria in travellers because a timely diagnosis of falciparum malaria can be of vital importance.
ten Heuvel
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Afd. Inwendige Ziekten, St. Antonius Ziekenhuis, Postbus 2500, 3430 EM Nieuwegein.
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D000328:Adult; D000962:Antimalarials / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004293:Dominican Republic / Q000453:epidemiology; D005260:Female; D006801:Humans; D016778:Malaria, Falciparum / Q000175:diagnosis* / Q000188:drug therapy / Q000453:epidemiology; D013997:Time Factors; D014195:Travel; D016896:Treatment Outcome
D000962:Antimalarials