Gaye O, Bah I B, Bengue E, Diallo S, Faye O
Centre Hospitalier Universitaire, Dakar, Sénégal.
Med Trop (Mars). 1989 Oct-Dec;49(4):401-4.
The authors make a study of malaria morbidity in Dakar during October and November 1988 in Dakar where malaria is endemic but with a pick in pathophoresis during the rainy season. Out of 353 surveyed cases of malaria, 110 were carriers of Plasmodium falciparum, i.e., 31%. Mean parasitic density was 7462 red cells/mm3 and more than an half of patients got an higher density. Parasitic density was higher in children (0-14 years old) than in adults, but with no significant indication. Malaria fever represents 20.4% of all types of fever observed and was the first cause to consult during the rainy season. Whatever threshold of parasitic density selected parasitologic criterion may be in order to identify a malaria fever, percentage of diagnosis misinterpretation linked up to clinical examination was always higher than 30%.
作者对1988年10月和11月达喀尔的疟疾发病率进行了研究，达喀尔是疟疾流行地区，但在雨季病原体携带率会有所上升。在353例接受调查的疟疾病例中，110例为恶性疟原虫携带者，即31%。平均寄生虫密度为7462个红细胞/立方毫米，超过半数患者的寄生虫密度更高。儿童（0 - 14岁）的寄生虫密度高于成人，但差异无统计学意义。疟疾发热占所有观察到的发热类型的20.4%，是雨季就诊的首要原因。无论选择何种寄生虫密度阈值作为诊断疟疾发热的寄生虫学标准，与临床检查相关的诊断错误率始终高于30%。
