Reactivation of plasmodium malariae infection in a Trinidadian man after neurosurgery
The New England journal of medicine
; 342(25): 1924-1924, June 2000.
Artículo
en Inglés
| MedCarib
| ID: med-17384
Biblioteca responsable:
TT5
Ubicación: TT5; W1, NE388
ABSTRACT
Malaria often presents as an acute febrile illness with fever, headache, rigors, anemia, and splenomegaly. The only malaria parasite associated with cerebral complications, Plasmodium falciparum usually blocks cerebral capillaries because of its endothelial adhesiveness. Infections with P. marlariae can persist for decades and are associated with splenomegaly and the nephrotic syndrome but not with cerebral complications. We describe P. malariae infection that was reactivated after neurosurgery after decades of latency. Infections with P. malariae may be asymptomatic and can be reactivated decades after the initial infection. The epidemiologic significance of asymptomatic cases of P. malariae infection has been well documented during outbreaks in Trinidad and Tobago and Grenada. Most of the symptomatic cases were detected by microscopial analysis, whereas the asymptomatic cases were diagnosed with the use of immunofluorescence antibody assays. Subclinical infections in humans may serve as the source of the protozoa in mosquitoes. Consequently, it is recommended that a sensitive technique that is based on the polymerase chain reaction be used to screen persons for persistent malaria infections, especially those who live in regions where the disease was once common but has since been eradicated
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Colección:
Bases de datos internacionales
Contexto en salud:
ODS3 - Salud y Bienestar
/
Enfermedades Desatendidas
Problema de salud:
Meta 3.3: Poner fin a las enfermedades desatendidas y detener enfermedades transmisibles
/
Malária
/
Enfermedades Desatendidas
Base de datos:
MedCarib
Asunto principal:
Trinidad y Tobago
/
Región del Caribe
/
Malaria
Límite:
Humanos
/
Masculino
País/Región como asunto:
Caribe Inglés
/
Trinidad y Tobago
Idioma:
Inglés
Revista:
The New England journal of medicine
Año:
2000
Tipo del documento:
Artículo
Institución/País de afiliación:
Caura Chest Hospital/Trinidad and Tobago
/
Insect Vector Control Division/Trinidad and Tobago
/
The University of the West Indies/Trinidad and Tobago