Popis: |
A study of malaria occurring in 176 soldiers returning from Vietnam was undertaken to determine the type, clinical course, complications, prognosis, and most effective treatment. In contrast to other studies, malaria in 93% of our patients was due toPlasmodium vivaxand only 3% toP falciparum. Anemia was found in 15% of our patients, and hemolysis was the most frequent cause. Leukopenia and thrombocytopenia were relatively frequent. A significant number had intestinal parasites. Outstanding complications in these patients were spontaneous rupture of spleen and malarial hepatitis. Patients withP vivaxmalaria frequently were not cured with the modes of therapy presently used and had up to four recurrences. Recurrent malaria will be seen frequently by physicians in civilian practice. |