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KMID : 0371620010160010063
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Journal of Wonkwang Medical Science
2001 Volume.16 No. 1 p.63 ~ p.68
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Clinical Characteristics of Malaria
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Choi Kyoung-Suk
Park Moo-Rim
Jung Byung-Hak
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Abstract
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Background: Vivax malaria, which was once thought to be eradicable since more than 20 years ago, has made a dramatic resurgence since 1993 in the northern parts of Kyeonggi-do. We analyzed the cases of malaria who were treated in Wonkwang University Hospital with regards to epidemiology, clinical manifestations, and treatment outcome.
Method: We retrospectively analyzed, clinical data of 28 confirmed cases of malaria treated in the same hospital from October, 1998 to August, 2001. We also compared out data to meta-analysis reports from western contries.
Results: Twenty-eight cases of malaria were enrolled. All cases were diagnosed as vivax malaria. All 28 patients had fever and chills. Hematologic abnormalities were the most common laboratory findings. Our patients showed anemia, thrombocytopenia, leukopenia and elevation of transaminase more frequently than western patients.
Conclusion: The number of malaria cases has been increasing by year. Early diagnosis, treatment, and prevention of malaria are important. To prevent indigenous malaria, anyone who travels to endemic areas should receive proper education and chemoprophylaxis, considering the pattern of drug resistance. Further genetic studies are desired to determine the subspecies of plasmodium vivax.
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KEYWORD
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malaria, plasmodium vivax
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