title: [Diagnosis and treatment of imported malaria in Spain: Recommendations from the Malaria Working Group of the Spanish Society of Tropical Medicine and International Health (SEMTSI)].
abstract: Malaria is a common parasitic disease diagnosed in the returned traveler. Mortality in travelers with imported malaria is around 2-3%, and one of the main factors associated with poor prognosis is the delay in the diagnosis and treatment. Imported malaria cases usually present with fever, headache and myalgia, but other symptoms may appear. The diagnosis should be performed as soon as possible, using thick smear or rapid diagnostic tests, and a blood smear. Treatment should be initiated urgently. In cases of severe malaria, the use of intravenous artemisinins has proved to be superior to intravenous quinine. This document reviews the recommendations of the expert group of the Spanish Society of Tropical Medicine and International Health (SEMTSI) for the diagnosis and treatment of imported malaria in Spain.
authors.affiliation: Centre de Recerca en Salut Internacional de Barcelona, CRESIB, Hospital Clínic-Universitat de Barcelona, Barcelona, España. Electronic address: jose.munoz@cresib.cat.
authors.forename: Jose
authors.initials: J
authors.lastname: Muñoz
authors.affiliation: Servicio de Medicina Interna, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, España.
authors.forename: Gerardo
authors.initials: G
authors.lastname: Rojo-Marcos
authors.affiliation: Unidad de Medicina Tropical, Hospital Carlos III, Madrid, España.
authors.forename: Germán
authors.initials: G
authors.lastname: Ramírez-Olivencia
authors.affiliation: Unidad de Medicina Tropical, Hospital de Poniente, Almería, España.
authors.forename: Joaquín
authors.initials: J
authors.lastname: Salas-Coronas
authors.affiliation: Unidad de Medicina Tropical y Salud Internacional Drassanes, Barcelona, España.
authors.forename: Begoña
authors.initials: B
authors.lastname: Treviño
authors.affiliation: Sección de Enfermedades Infecciosas y Medicina Tropical, Hospital Universitario Insular de Gran Canaria, Las Palmas de Gran Canaria, España.
authors.forename: José Luis
authors.initials: JL
authors.lastname: Perez Arellano
authors.affiliation: Unidad de Enfermedades Infecciosas, Hospital General Universitario de Alicante, Alicante, España.
authors.forename: Diego
authors.initials: D
authors.lastname: Torrús
authors.affiliation: Unidad de Medicina Tropical, Hospital de Poniente, Almería, España.
authors.forename: Maria Jose
authors.initials: MJ
authors.lastname: Muñoz Vilches
authors.affiliation: Servicio de Medicina Interna-Infecciosas, Hospital Univesitario de Elche, Elche, Alicante, España.
authors.forename: Jose Manuel
authors.initials: JM
authors.lastname: Ramos
authors.affiliation: Servicio de Pediatría, Hospital General de Granollers, Granollers, Barcelona, España.
authors.forename: Iñaki
authors.initials: I
authors.lastname: Alegría
authors.affiliation: Unidad de Medicina Tropical, Hospital Ramón y Cajal, Madrid, España.
authors.forename: Rogelio
authors.initials: R
authors.lastname: López-Vélez
authors.affiliation: Centre de Recerca en Salut Internacional de Barcelona, CRESIB, Hospital Clínic-Universitat de Barcelona, Barcelona, España.
authors.forename: Edelweiss
authors.initials: E
authors.lastname: Aldasoro
authors.affiliation: Unidad de Medicina Tropical, Hospital Ramón y Cajal, Madrid, España.
authors.forename: Jose Antonio
authors.initials: JA
authors.lastname: Perez-Molina
authors.affiliation: Centro Nacional de Microbiología, Instituto de Salud Carlos III, Madrid, España.
authors.forename: Jose Miguel
authors.initials: JM
authors.lastname: Rubio
authors.affiliation: Centre de Recerca en Salut Internacional de Barcelona, CRESIB, Hospital Clínic-Universitat de Barcelona, Barcelona, España.
authors.forename: Quique
authors.initials: Q
authors.lastname: Bassat
mesh_terms: D000328:Adult; D000465:Algorithms; D000927:Anticonvulsants / Q000627:therapeutic use; D000962:Antimalarials / Q000008:administration & dosage / Q000627:therapeutic use*; D001803:Blood Transfusion; D002648:Child; D003131:Combined Modality Therapy; D015897:Comorbidity; D042241:Early Diagnosis; D005260:Female; D005440:Fluid Therapy; D006801:Humans; D008288:Malaria / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy* / Q000635:transmission; D018512:Parasitemia / Q000175:diagnosis; D010274:Parasitology / Q000379:methods; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis / Q000628:therapy; D012955:Societies, Medical; D013030:Spain / Q000453:epidemiology; D014195:Travel; D014330:Tropical Medicine
chemical_list: D000927:Anticonvulsants; D000962:Antimalarials
keywords: Imported malaria; Malaria importada; Travelers; VFR (visiting friends and relatives); Viajeros