FATAL CASES OF MALARIA IN THE UNITED STATES CDC: cdc.gov/mmwr/preview/mmwrhtml/ss6205a1.htm?s_cid=ss6205a1_e Case 1. On July 25, a man aged 45 years who had immigrated to the United States from Haiti 13 years earlier had onset of fever. He had returned from Haiti 6 days earlier after visiting friends and family in the Port-au-Prince and St. Louis areas; he did not take malaria chemoprophylaxis. On July 28, he sought care from his primary-care physician for fever, generalized weakness, fatigue, and abdominal pain. His doctor treated his febrile illness empirically with oral ciprofloxacin as an outpatient. The next day, he presented to an emergency department with worsening fatigue, ongoing fever, rigors, and abdominal pain. Blood smears revealed P. falciparum infection with a parasitemia of 5%, and he was administered oral chloroquine. He developed ARDS on his third day of hospitalization and was transferred to another hospital, where he was started on intravenous quinidine treatment for presumed treatment failure. However, malaria smear revealed
Posted on: Fri, 01 Nov 2013 11:40:16 +0000
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