Yeruva Sri Lakshmi Hyndavi, Sinha Archana, Sarraf-Yazdy Mariam, Gajjala Jhansi
Department of Internal Medicine, Howard University Hospital, Washington DC, USA.
Department of Infectious Disease, Howard University Hospital, Washington DC, USA.
Korean J Parasitol. 2016 Jun;54(3):261-4. doi: 10.3347/kjp.2016.54.3.261. Epub 2016 Jun 30.
As endemic malaria is not commonly seen in the United States, most of the cases diagnosed and reported are associated with travel to and from the endemic places of malaria. As the number of imported cases of malaria has been increasing since 1973, it is important to look into these cases to study the morbidity and mortality associated with this disease in the United States. In this study, we would like to share our experience in diagnosing and treating these patients at our institution. We did a retrospective chart review of 37 cases with a documented history of imported malaria from 1998 to 2012. Among them, 16 patients had complicated malaria during that study period, with a mean length of hospital stay of 3.5 days. Most common place of travel was Africa, and chemoprophylaxis was taken by only 11% of patients. Travel history plays a critical role in suspecting the diagnosis and in initiating prompt treatment.
由于地方性疟疾在美国并不常见，大多数确诊和报告的病例都与往返疟疾流行地区的旅行有关。自1973年以来，疟疾输入病例的数量一直在增加，因此调查这些病例以研究美国与这种疾病相关的发病率和死亡率非常重要。在本研究中，我们想分享我们在本机构诊断和治疗这些患者的经验。我们对1998年至2012年期间有输入性疟疾病史记录的37例病例进行了回顾性病历审查。其中，16例患者在研究期间患有复杂型疟疾，平均住院时间为3.5天。最常见的旅行地点是非洲，只有11%的患者采取了化学预防措施。旅行史在怀疑诊断和启动及时治疗方面起着关键作用。
