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Parasitic Infections in Pulmonary and ICU Patients: Presentation, Diagnosis, and Treatment.
Chest
November 2024
Infectious Diseases Division, Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX. Electronic address:
Article Synopsis
- Parasitic infections in the U.S. primarily affect immigrants and travelers, often leading to delayed diagnoses by physicians unfamiliar with these diseases.
- Nearly 2,000 cases of imported malaria occur annually, with severe symptoms that can mimic bacterial sepsis, and treatment requires careful management to improve survival.
- Strongyloidiasis, endemic in warm regions, can stay dormant for years and worsen if corticosteroids are used, while other infections like cystic echinococcosis and paragonimus present with specific respiratory symptoms and are found in various global regions, including parts of North America.
How to manage adult patients with malaria in the non-endemic setting.
Clin Microbiol Infect
November 2024
III Division of Infectious Diseases, ASST Fatebenefratelli Sacco, Luigi Sacco Hospital, Milano, Italy.
Background: The diagnosis and management of malaria in non-endemic countries presents a continuing challenge. Plasmodium falciparum, which is capable of rapidly inducing severe and life-threatening multiorgan disease, is the species most frequently diagnosed in Europe and North America.
Objectives: To summarise the more relevant diagnostic findings and clinical features of malaria observed in non-endemic settings and to provide an update of the key management decision points using three illustrative clinical scenarios of uncomplicated and severe malaria.
Late Parasitological Failure and Subsequent Isolated Gametocytemia of Uncomplicated Malaria in a Returned Traveler From Ghana, 2023.
J Korean Med Sci
June 2024
Division of Infectious Diseases, Department of Internal Medicine, Ewha Womans University Mokdong Hospital, Seoul, Korea.
Herein, we report a case of uncomplicated falciparum malaria with late parasitological failure in a 45-year-old businessman returning from Ghana. The patient visited the emergency department with high fever, headache, and dizziness. He traveled without antimalarial chemoprophylaxis.
View Article and Find Full Text PDFImported congenital malaria caused by : A case report.
Ther Adv Infect Dis
February 2024
Division of Pediatric Infectious Diseases, Hospital for Sick Children, Toronto, ON, Canada.
We describe a 5-week-old term infant with severe congenital malaria in a non-endemic setting. She presented with diarrhea, poor feeding, lethargy, hepatosplenomegaly, and severe anemia. She was fortuitously diagnosed with malaria on routine blood smear, and successfully treated with intravenous artesunate.
View Article and Find Full Text PDFAn imported malaria case with repeated episodes of neurological syndromes resulting from different Plasmodium species.
BMC Infect Dis
January 2024
Department of Pathogen Biology and Immunology, Kunming Medical University, Kunming, Yunnan Province, China.
Background: Imported cerebral malaria (CM) cases in non-endemic areas are often misdiagnosed, which delays treatment. Post-malaria neurological syndrome (PMNS) after recovery from severe malaria can also complicate diagnosis.
Case: We report an imported malaria case from West Africa with two sequential episodes with neurological syndromes within about a month.
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