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Review * Synthèse

Fatal falciparum malaria in Canadian travellers

A. Humar, S. Sharma, D. Zoutman and K. C. Kain
CMAJ April 15, 1997 156 (8) 1165-1167;
A. Humar
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S. Sharma
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D. Zoutman
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K. C. Kain
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Abstract

The authors report 2 cases of severe falciparum malaria in Canadians that had fatal outcomes. In the first case a man presented to a local hospital shortly after returning from Africa, but a diagnosis of malaria was not considered. He was transferred to a secondary and then to a tertiary care facility, where he subsequently died. Intravenous quinidine therapy, the treatment of choice, was unavailable at all 3 hospitals. In the second case, a woman taking chloroquine prophylaxis while visiting Nigeria developed cerebral malaria and died. These cases illustrate critical management issues: appropriate advice on malaria prevention before departure; consideration of malaria in all febrile people returning from an endemic area; ready access to parenteral therapy for severe malaria in Canadian hospitals; and an increase in awareness of travel medicine among family physicians.

  • Copyright © 1997 by Canadian Medical Association
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Vol. 156, Issue 8
15 Apr 1997
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Fatal falciparum malaria in Canadian travellers
A. Humar, S. Sharma, D. Zoutman, K. C. Kain
CMAJ Apr 1997, 156 (8) 1165-1167;

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Fatal falciparum malaria in Canadian travellers
A. Humar, S. Sharma, D. Zoutman, K. C. Kain
CMAJ Apr 1997, 156 (8) 1165-1167;
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