August 20, 1997

Malaria in an Immigrant and Travelers—Georgia, Vermont, and Tennessee, 1996

JAMA. 1997;278(7):541-542. doi:10.1001/jama.1997.03550070033018

EACH YEAR, approximately 1000 cases of malaria are reported in the United States, nearly all among persons with histories of antecedent international travel. Failure to use appropriate measures to prevent infection when traveling in areas with endemic disease and delays in diagnosis and treatment can result in severe complications and death. This report presents three recent cases of malaria that illustrate the importance of following the fundamental measures for preventing malaria.

Case 1  In November 1996, a 37-year-old woman who was 35 weeks' pregnant was admitted to a hospital in Atlanta, Georgia, because of a 3-day history of fever, chills, dysuria, back pain, nausea, vomiting, and headache. She denied cough, night sweats, and weight loss. She had moved to Georgia from Honduras in 1994 and had not traveled outside the United States since arriving. On physical examination, her temperature was 102.2 F (39.0 C), and she had a