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The patient has a fever. He also reports generalized fatigue; perhaps nausea and chills. The possible diagnoses are many.
Recently, clinicians have been urged to consider a potentially fatal possibility: malaria.
With a third of 1966 remaining, more malaria cases have been reported in the nation than in any year of the past 11. By the first week in August, the Communicable Disease Center, Atlanta, counted 177 cases with confirmed onset in the US or Puerto Rico.
By comparison, 156 cases were recorded in 1965, 171 in 1964. During the period 1958-1961, only 54 to 85 malaria cases were reported annually.
The increase is, in part, a consequence of America's increasing civilian and military involvement in Southeast Asia. During 1965, the CDC reported recently, 66 of the 156 cases probably encountered a mosquito vector of the disease there. Fifty-one persons were initially infected in Africa.
The recently-discharged serviceman is the
Clinicians Urged To Watch For Malaria. JAMA. 1966;197(8):37. doi:10.1001/jama.1966.03110080025010