Imported Malaria In A Non-endemic Area: The Experience Of The University Of Campinas Hospital In The Brazilian Southeast

dc.creatorDos-Santos J.C.K.
dc.creatorAngerami R.N.
dc.creatorCastineiras C.M.S.
dc.creatorLopes S.C.P.
dc.creatorAlbrecht L.
dc.creatorGarcia M.T.
dc.creatorLevy C.E.
dc.creatorMoretti M.L.
dc.creatorLacerda M.V.G.
dc.creatorCosta F.T.M.
dc.date2014
dc.date2015-06-25T17:52:33Z
dc.date2015-11-26T14:17:25Z
dc.date2015-06-25T17:52:33Z
dc.date2015-11-26T14:17:25Z
dc.date.accessioned2018-03-28T21:18:29Z
dc.date.available2018-03-28T21:18:29Z
dc.identifier
dc.identifierMalaria Journal. Biomed Central Ltd., v. 13, n. 1, p. - , 2014.
dc.identifier14752875
dc.identifier10.1186/1475-2875-13-280
dc.identifierhttp://www.scopus.com/inward/record.url?eid=2-s2.0-84904526903&partnerID=40&md5=8cef93c6221243fcb6bfc51d9eec2764
dc.identifierhttp://www.repositorio.unicamp.br/handle/REPOSIP/86292
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/86292
dc.identifier2-s2.0-84904526903
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1243330
dc.descriptionBackground: Although malaria in Brazil almost exclusively occurs within the boundaries of the Amazon Region, some concerns are raised regarding imported malaria to non-endemic areas of the country, notably increased incidence of complications due to delayed diagnoses. However, although imported malaria in Brazil represents a major health problem, only a few studies have addressed this subject. Methods. A retrospective case series is presented in which 263 medical charts were analysed to investigate the clinical and epidemiological characterization of malaria cases that were diagnosed and treated at Hospital & Clinics, State University of Campinas between 1998 and 2011. Results: Amongst all medical charts analysed, 224 patients had a parasitological confirmed diagnosis of malaria. Plasmodium vivax and Plasmodium falciparum were responsible for 67% and 30% of the infections, respectively. The majority of patients were male (83%) of a productive age (median, 37 years old). Importantly, severe complications did not differ significantly between P. vivax (14 cases, 9%) and P. falciparum (7 cases, 10%) infections. Conclusions: Severe malaria cases were frequent among imported cases in Brazil outside of the Amazon area. The findings reinforce the idea that P. vivax infections in Brazil are not benign, regardless the endemicity of the area studied. Moreover, as the hospital is located in a privileged site, it could be used for future studies of malaria relapses and primaquine resistance mechanisms. Finally, based on the volume of cases treated and the secondary complications, referral malaria services are needed in the non-endemic areas of Brazil for a rapid and efficient and treatment. © 2014 Dos-Santos et al.; licensee BioMed Central Ltd.
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dc.languageen
dc.publisherBioMed Central Ltd.
dc.relationMalaria Journal
dc.rightsaberto
dc.sourceScopus
dc.titleImported Malaria In A Non-endemic Area: The Experience Of The University Of Campinas Hospital In The Brazilian Southeast
dc.typeArtículos de revistas


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