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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.
A family of three persons is planning a safari to southern Africa. The itinerary includes 3 days in Cape Town, South Africa, 3 days in Kruger National Park, South Africa, and 3 days in Victoria Falls, Zambia. The 31-year-old husband takes no medications currently, but he recently discontinued fluoxetine, which he had taken for depression. His 29-year-old wife, who won the trip
The Clinical Problem
Strategies and Evidence
Management
Behavioral and Nondrug Interventions
Chemoprophylaxis
Pregnant Women
Children
Late Relapses
Primaquine for Primary Prophylaxis
Areas of Uncertainty
Safety of Mefloquine
Standby Emergency Therapy
Guidelines from Professional Societies
Conclusions and Recommendations
Source Information
From the William C. Gorgas Center for Geographic Medicine, Division of Infectious Diseases, University of Alabama at Birmingham, Birmingham.
An audio version of this article is available at www.nejm.org.
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Malaria Prevention in Short-Term Travelers
Kurt T. L., Freedman D. O.
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N Engl J Med 2008;
359:2293-2294, Nov 20, 2008.
Correspondence
This article has been cited by other articles:
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