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Progress in Pediatrics
January 1947

TERTIAN, QUARTAN AND MIXED MALARIAL INFECTIONSA Survey of Three Hundred and Thirty-Four Cases of Infection with Plasmodium Vivax, Ten Cases of Infection with Plasmodium Malariae and Eight Cases of Mixed Malarial Infections in Children

Author Affiliations

From the Pediatric Services, Gorgas and Colon Hospitals, Ancon and Cristobal, Canal Zone.

Am J Dis Child. 1947;73(1):55-86. doi:10.1001/archpedi.1947.02020360062005

ALTHOUGH the disease entities which one meets on the Isthmus of Panama are similar to those encountered in temperate zones, their incidence is altered by climate, mode of living and sanitary conditions. This difference is particularly emphasized in the practice of pediatrics in Panama, where a pediatrician cannot help being impressed with the frequency of the malarial fevers and intestinal helminthiasis in children. Instead of being of minor medical importance, as they are in most parts of the United States, these infections are so prevalent as to be matters of prime clinical significance. Studies of helminthiasis and malaria on the Isthmus of Panama were undertaken. Reports dealing with the common intestinal parasites observed here have been published elsewhere.1

Relatively little of the extensive literature on malaria deals with the effects of the disease on children. In some reports, it is suggested that malaria in children is similar to malaria

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