• Der Internist · Feb 2014

    [Malaria].

    • G D Burchard.
    • ifi - Institut für Interdisziplinäre Medizin, Lohmühlenstr. 5, 20099, Hamburg, Deutschland, burchard@ifi-medizin.de.
    • Internist (Berl). 2014 Feb 1; 55 (2): 165-76.

    AbstractMalaria is the most important infectious disease imported by travelers and migrants from tropical and subtropical areas. It is imported quite frequently. It is a life-threatening disease. Symptoms are nonspecific and cannot easily be distinguished from a wide range of other febrile conditions. Therefore, travel history must be taken in all patients with fever of unknown origin and malaria diagnostics must be performed immediately on suspicion of malaria. Uncomplicated falciparum malaria should be treated in the hospital with either atovaquone-proguanil or with an artemisinin-based combination preparation. If there is evidence of severe malaria, the patient must be moved to an intensive care unit. The antiparasitic agent of choice is then artesunate.

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