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Case Reports
. 2002 Dec;9(12):1260-3.
doi: 10.1016/s0929-693x(02)00127-6.

[Life-threatening Plasmodium falciparum parasitemia, in an infant returning from the tropics]

[Article in French]
P Gérardin  1 , A Dorkenoo, R Cremer, M Chenaud, D Camus, F Leclerc
Affiliations
Case Reports

[Life-threatening Plasmodium falciparum parasitemia, in an infant returning from the tropics]

[Article in French]
P Gérardin et al. Arch Pediatr. 2002 Dec.

Abstract

Introduction: Severe falciparum malaria is a polymorphous life-threatening disease. Hyperparasitemia is rare among non-immune children returning from tropical areas. CARE REPORT: We report a case of an infant returning from Ivory Coast who presented with fever, prostration and marked thrombocytopenia (22,000 platelets/mm(3)). Blood slide showed Plasmodium falciparum ring forms. Parasite density dramatically increased from 1.7% to 45%, and the child developed several features of severe malaria, according to WHO definition.

Conclusion: In this non-immune infant, prostration and thrombopocytopenia seemed to be earlier predictors of severity than hyperparasitemia and other WHO criteria, which have not been yet validated in travelling children.

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