Sarwari A R, Fisher M, Khakoo R, Gunel E
West Virginia University Hospital, Morgantown, USA.
W V Med J. 1998 May-Jun;94(3):137-42.
In the U.S., malaria predominately occurs in travelers and immigrants. We report a series of 40 cases at West Virginia University Hospital, and 24 of whom were students who had visited areas of East Africa, West Africa and Asia usually in either December, January, August or September. Most patients (79%) reported a previous episode of malaria, and P. falciparum was identified in 60%. Fever, chills and rigors were the most common symptoms. Correct use of malaria prophylaxis was recorded in five patients, and only two of these were students. Successful outcomes were recorded in all but one patient. Our series suggests that international students would benefit from the proper use of chemoprophylaxis, thus decreasing the number of cases of malaria seen in university settings.
在美国，疟疾主要发生在旅行者和移民中。我们报告了西弗吉尼亚大学医院的一系列40例病例，其中24例是学生，他们通常在12月、1月、8月或9月访问过东非、西非和亚洲地区。大多数患者（79%）报告曾有过疟疾发作史，其中60%检测出恶性疟原虫。发热、寒战和畏寒是最常见的症状。记录显示有5名患者正确使用了疟疾预防措施，其中只有2名是学生。除1名患者外，所有患者均取得了成功的治疗结果。我们的系列病例表明，国际学生正确使用化学预防措施将有所裨益，从而减少大学环境中疟疾的病例数。
