title: Atypical aetiology of a conjugal fever: autochthonous airport malaria between Paris and French Riviera: a case report.
abstract: Endemic malaria has been eradicated from France, but some falciparum malaria cases have been described in patients who have never travelled outside the country. Ms. V. 21 year-old and Mr. M. 23 year-old living together in Paris were on holiday in Saint Raphaël (French Riviera). They presented with fever, vertigo and nausea. A blood smear made to control thrombocytopaenia revealed intra-erythrocytic forms of Plasmodium falciparum. The parasitaemia level was 0.15% for Ms. V and 3.2% for Mr. M. This couple had no history of blood transfusion or intravenous drug use. They had never travelled outside metropolitan France, but had recently travelled around France: to Saint Mard (close to Paris Charles de Gaulle (CdG) airport), to Barneville plage (in Normandy) and finally to Saint Raphaël. The most probable hypothesis is an infection transmitted in Saint Mard by an imported anopheline mosquito at CdG airport. The DNA analysis of parasites from Ms. V.'s and Mr. M.'s blood revealed identical genotypes. Because it is unlikely that two different anopheline mosquitoes would be infected by exactly the same clones, the two infections must have been caused by the infective bites of the same infected mosquito.
authors.affiliation: Laboratoire de Parasitologie-Mycologie, Centre Hospitalier Universitaire L'Archet, 151 route de Saint Antoine de Ginestière, BP 3079 06202 Nice Cedex 3 France. pomares.c@chu-nice.fr
authors.forename: Christelle
authors.initials: C
authors.lastname: Pomares-Estran
authors.forename: Pascal
authors.initials: P
authors.lastname: Delaunay
authors.forename: Annie
authors.initials: A
authors.lastname: Mottard
authors.forename: Eric
authors.initials: E
authors.lastname: Cua
authors.forename: Pierre-Marie
authors.initials: PM
authors.lastname: Roger
authors.forename: Bruno
authors.initials: B
authors.lastname: Pradines
authors.forename: Daniel
authors.initials: D
authors.lastname: Parzy
authors.forename: Hervé
authors.initials: H
authors.lastname: Bogreau
authors.forename: Christophe
authors.initials: C
authors.lastname: Rogier
authors.forename: Charles
authors.initials: C
authors.lastname: Jeannin
authors.forename: Saïd
authors.initials: S
authors.lastname: Karch
authors.forename: Didier
authors.initials: D
authors.lastname: Fontenille
authors.forename: Dominique
authors.initials: D
authors.lastname: Dejour-Salamanca
authors.forename: Fabrice
authors.initials: F
authors.lastname: Legros
authors.forename: Pierre
authors.initials: P
authors.lastname: Marty
mesh_terms: D000818:Animals; D001769:Blood / Q000469:parasitology; D016054:DNA, Protozoan / Q000235:genetics; D005260:Female; D005334:Fever / Q000209:etiology*; D005602:France; D005838:Genotype; D006801:Humans; D016778:Malaria, Falciparum / Q000175:diagnosis* / Q000503:physiopathology*; D008297:Male; D009325:Nausea / Q000209:etiology; D010963:Plasmodium falciparum / Q000145:classification / Q000235:genetics / Q000302:isolation & purification*; D014195:Travel; D014717:Vertigo / Q000209:etiology; D055815:Young Adult
chemical_list: D016054:DNA, Protozoan
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