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June 19, 2013
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Malaria

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Malaria Overview

  • Malaria is caused by parasites from the genus Plasmodium which are spread to people by infected mosquitoes. There are five species of Plasmodium that can infect humans.
  • Statistics show that there are 250 million to 500 million cases of malaria each year in the world, causing up to 1 million deaths. Deaths are more common in children.
  • Although North America, Western Europe, and Russia are free of malaria, transmission still occurs in many other tropical and subtropical countries of the world. Disease rates are highest in sub-Saharan Africa.
  • The hallmark of malaria is fever. Initially, symptoms may mimic the flu. Fever may be accompanied by shaking chills and muscle aches. Anemia is common.
  • Severe cases may cause organ failure or death.
  • Malaria is diagnosed from a blood smear when the parasite is seen under the microscope. Other tests are available, but microscopy remains the cornerstone of diagnosis. Malaria is treated with specific medications. Oral medications are usually used, except in severe cases.
  • Most patients recover completely after being treated. However, infection with P. vivax or P. ovale may be associated with organisms that hide in the liver for months or years, resisting treatment. Special medications are used to help eradicate these organisms.
  • People who travel to areas with malaria should visit their physician prior to departure. The risk of malaria may be reduced by taking medications and using mosquito precautions.
Map 1:  Countries in Central and South America where malaria transmission exists.   Note that some areas within an affected country may be free of malaria.
Map 1: Countries in Central and South America where malaria transmission exists. Note that some areas within an affected country may be free of malaria.

Map 2:  Countries in Africa and Asia where malaria exists. Note that some areas within an affected country may be free of malaria.
Map 2: Countries in Africa and Asia where malaria exists. Note that some areas within an affected country may be free of malaria.
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Malaria - Symptoms and Signs

The eMedicineHealth physician editors ask:

What malaria symptoms and signs did you experience?

Treatment Overview

Medicine can prevent malaria and is necessary to treat the disease. Several factors influence the choice of medicine, including:

  • Whether the medicine is being used to prevent or to treat malaria.
  • Your condition (such as your age or whether you are pregnant).
  • How sick you are from malaria.
  • Geographic location where you were exposed to malaria.
  • Whether the malaria parasite may be resistant to certain medications.
  • Your ability to take the preferred medicine without side effects or complications.
  • Whether you are able to take the medicine as a pill.

Malaria is rare in the United States, but it is widespread in other parts of the world. Find out about the risk for malaria before you travel internationally.

SOURCE:
Healthwise

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Read What Your Physician is Reading on Medscape

Malaria »

Malaria, which predominantly occurs in tropical areas, is a potentially life-threatening disease caused by infection with Plasmodium protozoa transmitted by an infective female Anopheles mosquito vector.

Read More on Medscape Reference »


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