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Four Cases of The Imported Falciparum Malariain Childre

Journal of the Korean Pediatric Society 1997;40(2):249-253.
Published online February 15, 1997.
Four Cases of The Imported Falciparum Malariain Childre
So Young Lee1, Tae Sung Ko1, Hyun Sook Chi2, Young Seo Park1
1Department of Pediatrics, College of Medicine, Ulsan University, Seoul, Korea
2Department of ClinicalPathology, College of Medicine, Ulsan University, Seoul, Korea
소아에서 발생한 유입성 열대열 말라리아 4례
이소영1, 고태성1, 지현숙2, 박영서1
1울산대학교 의과대학 소아과학교실
2울산대학교 의과대학 임상병리학교실
Abstract
Malaria is a protozoan disease transmitted by the bite of female Anopheles mosquitoes. Only four species of Plasmodium can infect human, which are P.vivax, P. ovale, P. malariae, and P. falciparum. We experienced four cases of the imported falciparum malaria in children who were admitted due to fever, vomiting, diarrhea, abdominal pain, lethargic state, and/or altered mentality after traveling Kenya and Tanzania without chemoprophylaxis. Two of them were diagnosed as the cerebral malaria. Their peripheral blood smear films show multiple ring forms of P. falciparum, gametocytes in the erythrocytes, and malarial pigments in the cytoplasm of neutrophils. They are treated by quinine without complication. Recently, as the international travelers tended to be increasing, the incidence of the imported malaria was increasing in Korea. Therefore we should be established the strategies for the prevention and the treatment of the imported malaria.
Key Words: Falciparum Malaria, Children


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