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Previous Volume 342:1924 June 22, 2000 Number 25 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Malaria often presents as an acute febrile illness with fever, headache, rigors, anemia, and splenomegaly. The only malaria parasite associated with cerebral complications, Plasmodium falciparum usually blocks cerebral capillaries because of its endothelial adhesiveness.¹ Infections with P. malariae can persist for decades and are associated with splenomegaly and the nephrotic syndrome² but not with cerebral complications. We describe P. malariae infection that was reactivated after neurosurgery after decades of latency.

In September 1998, a 70-year-old Trinidadian man with a history of pulmonary tuberculosis presented with a right hemiparesis. A computed tomographic scan of the brain showed an . . . [Full Text of this Article]

References

Related Letters:

Malaria in a Trinidadian Man
Kulwichit W., Rosenthal P. J., Chadee D. D.
Extract | Full Text  
N Engl J Med 2000; 343:1046-1047, Oct 5, 2000. Correspondence

This article has been cited by other articles:

• Kulwichit, W., Rosenthal, P. J., Chadee, D. D. (2000). Malaria in a Trinidadian Man. NEJM 343: 1046-1047 [Full Text]