Malaria Recurrence Caused by Plasmodium falciparum

Shakoora Omonuwa, MD, Smith Omonuwa, MD, MSc


J Am Board Fam Med. 2002;15(2) 

In This Article


Worldwide, malaria infects 270 million persons each year[1] and has a mortality rate of 1%. In the United States, fewer than 1,000 cases of malaria are diagnosed in those who have a history of travel. The diagnosis is typically delayed, with an ensuing higher morbidity and mortality associated with hospitalization.[2] The delayed diagnosis might be a result of the low incidence of malaria in nonendemic areas and the nonspecificity of the signs and symptoms.[3] The case reported in this article is unusual in that no recent travel occurred, diagnosis was made expeditiously in the emergency department, and Plasmodium falciparum malaria might have recurred after an unusually long delay of more than 1 year.


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