An outbreak of Plasmodium vivax malaria in Lakonia, southern Greece, August-October 2009
Abstract number: P1391
Andriopoulos P., Oikonomopoulou A., Rigaki K., Kaplanis N., Rebelou D., Assimakopoulos G.
Objectives: Malaria is considered to be eradicated in Europe. Only sporadic cases from travellers in endemic areas are occasionally reported. A cluster of Vivax malaria infected patients from Lakonia Greece is presented.
Methods: 8 patients were hospitalized from August to October 2009 in Sparta General Hospital with plasmodium vivax malaria. Epidemiological data, clinical symptoms, diagnosis and treatment are described.
Results: Two patients, 24 and 28 years old, immigrants from Pakistan and Afghanistan accordingly were admitted because of fever, jaundice and abdominal pain. The latter was treated for malaria with a 3-day regiment of chloroquine a year ago. Two weeks later and during a period of two months, six more patients, natives of Lakonia and living in different regions of the state from the first two, were admitted with similar symptoms. Blood smear tests were positive for all patients for plasmodium vivax which was verified with PCR testing. Sensitivity tests showed that all the strains were chloroquine-sensitive. All patients had irregular fever patterns, haemolytic anemia, thrombocytopenia, transient neutropenia, splenomegaly and elevated liver function tests. They were treated with combined regiment of chloroquine followed by primaquine and completed the treatment uneventfully.
Conclusion: A re-emergence of malaria may become a growing concern since populations migrate from Asia to Europe in poor sanitary conditions causing occasional local transmission. Surveillance and prevention are crucial in order to prevent further epidemics.
|Session name:||Abstracts 20th European Congress of Clinical Microbiology and Infectious Diseases|
|Location:||Vienna, Austria, 10 - 13 April 2010|
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