title: [Delayed recognition of falciparum malaria from a non-endemic region in the Dominican Republic].
abstract: 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.
authors.affiliation: Afd. Inwendige Ziekten, St. Antonius Ziekenhuis, Postbus 2500, 3430 EM Nieuwegein.
authors.forename: A
authors.initials: A
authors.lastname: ten Heuvel
authors.forename: P H Th J
authors.initials: PH
authors.lastname: Slee
authors.forename: M
authors.initials: M
authors.lastname: Tersmette
mesh_terms: 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
chemical_list: D000962:Antimalarials