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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

Main Article

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.

Main Article

Page created: December 09, 2010
Page updated: December 09, 2010
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The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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