Siala Emna, Gamara Dhikrayet, Kallel Kalthoum, Daaboub Jabeur, Zouiten Faiçal, Houzé Sandrine, Bouratbine Aïda, Aoun Karim
Laboratoire de Parasitologie-Mycologie, Tunis, Tunisia.
Malar J. 2015 Jan 28;14:42. doi: 10.1186/s12936-015-0566-x.
Four cases of airport malaria were notified for the first time in Tunisia during the summer of 2013. All patients were neighbours living within 2 km of Tunis International Airport. They had no history of travel to malarious countries, of blood transfusion or of intravenous drug use. Although malaria transmission had ceased in Tunisia since 1980, autochthonous infection by local Anopheles mosquitoes was initially considered. However, this diagnostic hypothesis was ruled out due to negative entomological survey and the absence of additional cases.All cases were caused by Plasmodium falciparum. Clinical presentation was severe (important thrombocytopaenia and parasitaemia), because of relatively important delay in diagnosis (average of seven days). This indicates the need to consider malaria while examining airport employees or people living near international airports presenting with fever of unknown origin. It also stresses the need for effective spraying of aircrafts coming from malarious areas.
2013年夏季，突尼斯首次报告了4例机场疟疾病例。所有患者都是居住在突尼斯国际机场2公里范围内的邻居。他们没有前往疟疾流行国家旅行、输血或使用静脉注射毒品的历史。尽管自1980年以来突尼斯已停止疟疾传播，但最初考虑的是当地按蚊的本土感染。然而，由于昆虫学调查呈阴性且没有其他病例，这一诊断假设被排除。所有病例均由恶性疟原虫引起。由于诊断相对较晚（平均7天），临床表现严重（严重血小板减少和寄生虫血症）。这表明在检查机场工作人员或居住在国际机场附近出现不明原因发热的人员时需要考虑疟疾。它还强调了对来自疟疾流行地区的飞机进行有效喷洒的必要性。
