1. Cerebral and Plasmodium ovale Malaria in Rhode Island.
- Author
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Kaine J, Moran-Guiati J, Tanch J, and Clyne B
- Subjects
- Female, Fever etiology, Humans, Liberia ethnology, Malaria, Cerebral drug therapy, Malaria, Falciparum drug therapy, Male, Middle Aged, Plasmodium falciparum, Plasmodium ovale, Rhode Island, Sierra Leone ethnology, Young Adult, Antimalarials therapeutic use, Malaria, Cerebral diagnosis, Malaria, Falciparum diagnosis, Travel
- Abstract
We report two cases of malaria diagnosed in Rhode Island. First, a 21-year-old female who presented with 5 days of fevers, chills, headache, and myalgias after returning from a trip to Liberia, found to have uncomplicated malaria due to P. ovale which was treated successfully with atovaquone/proguanil and primaquine. Second, a chronically ill 55-year-old male presented with 3 days of headache followed by altered mental status, fever, and new-onset seizures after a recent visit to Sierra Leone, found to have P. falciparum malaria requiring ICU admission and IV artesunate treatment. The diagnosis and management of malaria in the United States (US), as well as its rare association with subdural hemorrhage are subsequently reviewed.
- Published
- 2020