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Volume 7, Number 6—December 2001

Dispatch

Malaria in Illegal Chinese Immigrants, Italy

Alberto Matteelli*Comments to Author , Alberto Volonterio†, Maurizio Gulletta*, Laura Galimberti‡, Stefania Maroccolo, Giovanni Gaiera¶, Gloria Giani#, Maurizio Rossi**, Nicoletta Dorigoni††, Luca Bellina*, Giovanna Orlando#, Zeno Bisoffi§, and Francesco Castelli*
Author affiliations: *University of Brescia, Brescia, Italy;; †HOspedale Niguarda B Cà Granda, Milano, Italy;; ‡University of Milano, Milano, Italy;; §Institute for Tropical Medicine, Negrar, Italy;; ¶Ospedale San Raffaele, Milano, Italy;; #Ospedale Sacco, Milano, Italy;; **Ospedale di Menaggio, Menaggio, Italy;; ††Ospedale Santa Chiara, Trento, Italy

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Table

Epidemiologic and clinical characteristics of 22 Chinese immigrants with malaria in Italy

No. Sex,age (yrs) Origin Countries visited Day/mo of initial visit Malaria species Parasite density Days until hospital dxa Clinical signs & symptoms Treatment Outcome
1 M, 24 Na Pakistan 1/7 Pf <1% 0 Uncomplicated Quinine + Doxycycline Resolved
2 F, 20 Na Na 3/7 Pf 15% 0 Uncomplicated Mefloquine Resolved
3 M, 26 Na Na 3/7 Pf 15% 0 Uncomplicated Mefloquine Resolved
4 M, 20 Zhe Jiang Laos, Myanmar, Bangladesh, Pakistan, East Africa 5/7 Pf <1% 2 Uncomplicated Quinine + Doxycycline Resolved
5 M, 29 Southern China Pakistan, Myanmar, Thailand 5/7 Pf <1% 1 Uncomplicated Quinine + Doxycycline Resolved
6 M, 23 Na Vietnam, Cambodia, Kenya 17/7 Pf 20% 2 Severe Quinine + Doxycycline Death
7 M, 19 Zhe Jiang Pakistan, Ivory Coast 19/7 Pf 3% 2 Severe Quinine + antifolics; transfusion Resolved
8 M, 33 Na Pakistan 20/7 Pv Nd2 0 Nd3 Chloroquine Resolved
9 M, 23 Na Na 20/7 Pf 2.5% 0 Uncomplicated Mefloquine Resolved
10 F, ? Na Pakistan 21/7 Pf 20% 3 Severe Quinine + Doxycycline Exchange transfusion Resolved
11 M, 26 Na Na 22/7 Pf <1% 0 Uncomplicated Quinine Self discharged
12 M, 28 Na Tanzania 22/7 Pf 11% 4 Severe Quinine + Clindamicin Resolved
13 F, 28 Na Na 26/7 Pf + Po 10% 3 Severe Quinine + Doxycycline Primaquine Resolved
14 M, 24 Zhe Jiang Laos, Myanmar, Bangladesh, Pakistan, East Africa 27/7 Pf <1% 0 Uncomplicated Quinine + Doxycycline Resolved
15 M, 25 Zhe Jiang Laos, Myanmar, Bangladesh, Pakistan, East Africa 28/7 Pf 15% 8 Severe Quinine + Doxycycline Exchange transfusion Neurologic sequelae
16 M, 22 Zhe Jiang East Africa 28/7 Pf <1% 0 Uncomplicated Quinine Resolved
17 M, 18 Na Myanmar, Bangladesh, Pakistan, Ivory Coast, France 2/8 Pf <1% 1 Uncomplicated Quinine + Doxycycline Resolved
18 F, 19 Southern China Kenya 6/8 Pf 1% 11 Uncomplicated Quinine + Doxycycline Resolved
19 M, 29 Na Pakistan 7/8 Pf 1% 0 Uncomplicated Quinine + Doxycycline Resolved
20 F, 24 Zhe Jiang Ivory Coast 6/9 Pf 17% 2 Severe Quinine + Doxycycline Exchange transfusion Resolved
21 M, 29 Southern China Pakistan, Ivory Coast 11/9 Pf <1% 0 Uncomplicated Quinine + Doxycycline Resolved
22 M, 18 Na Cameroon 15/11 Pf <1% 0 Uncomplicated Mefloquine Resolved

A value of 0 indicates diagnosis on the day of admission.
F = female; M = male; dx = diagnosis; mo = month; Na = not assessed; Nd = not determined in a case of Plasmodium vivax infection; Pv = P. vivax; Pf = P. falciparum; Po = P. ovale.

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