FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 355:1715-1722 October 19, 2006 Number 16 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.

	Full Text PDF PDA Full Text PowerPoint Slide Set Purchase this article Letters Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited E-mail When Letters Appear PubMed Citation

Presentation of Case

Dr. Christine M. Cserti: A 3-year-old girl was admitted to this hospital because of fever and parasites in the peripheral blood.

Three weeks earlier, the patient and her 5-year-old brother and mother had traveled to Nigeria to visit relatives. Antimalarial chemoprophylaxis had been prescribed for the patient's mother but not for the children. They stayed in an urban hotel, were not near standing water, did not travel in the countryside, and did not recall any mosquito bites. When they returned to the United States, 5 days before admission, fever, rigors, lethargy, nausea, and vomiting developed in both children. The patient . . . [Full Text of this Article]

Differential Diagnosis

Discussion of Management

Antimalarial Prophylaxis

Treatment of P. falciparum Malaria

Severe Malaria and Exchange Transfusion

Anatomical Diagnosis

Source Information

From the Department of Pediatrics (I.P.F.) and the Blood Transfusion Service (C.M.C., W.H.D.), Massachusetts General Hospital; and the Departments of Pediatrics (I.P.F.) and Pathology (C.M.C., W.H.D.), Harvard Medical School.

Related Letters:

Case 32-2006: A Girl with Fever after a Visit to Africa
Williams J., Agarwal R., Srinivas R., Nath A., Blazes D. L., Sanders J. W., Riddle M. S., Pasvol G., Fraser I. P., Cserti C. M., Dzik W. H.
Extract | Full Text | PDF  
N Engl J Med 2007; 356:527-529, Feb 1, 2007. Correspondence

This article has been cited by other articles:

• Stowell, C. P., Gelfand, J. A., Shepard, J.-A. O., Kratz, A. (2007). Case 17-2007 -- A 25-Year-Old Woman with Relapsing Fevers and Recent Onset of Dyspnea. NEJM 356: 2313-2319 [Full Text]  
• Williams, J., Agarwal, R., Srinivas, R., Nath, A., Blazes, D. L., Sanders, J. W., Riddle, M. S., Pasvol, G., Fraser, I. P., Cserti, C. M., Dzik, W. H. (2007). Case 32-2006: A Girl with Fever after a Visit to Africa. NEJM 356: 527-529 [Full Text]