{"title":"Autochthonous cases of malaria in central Anatolia.","authors":"Zehra Beştepe Dursun, Hande Sağlam, Esma Eryilmaz Eren, Ayşin Kilinç Toker, Merve Elmaağaç, İlhami Çelik","doi":"10.1177/00494755251344650","DOIUrl":null,"url":null,"abstract":"<p><p>Malaria incidence has significantly declined worldwide and Turkey has not been classified as an endemic region since 2016. By 2023, all cases reported in the country were linked to travels to an endemic region. In this report, four cases of malaria caused by <i>Plasmodium falciparum</i> are presented from the province of Kayseri but with no history of travel to any malaria-endemic region. Three cases were diagnosed by reverse transcription-polymerase chain reaction. The second case had mixed parasitemia of <i>P. falciparum</i> and <i>P. vivax</i>. Artemether (20 mg)-lumefantrin were given to all patients. After discharge, the first and fourth malaria cases were admitted with recurrent parasitaemia. They were re-treated and then recovered. The second case improved, but the third case developed organ failure and died. Malaria should be considered in the preliminary clinical diagnosis of patients even when no history of endemic region residence can be verified.</p>","PeriodicalId":49415,"journal":{"name":"Tropical Doctor","volume":" ","pages":"494755251344650"},"PeriodicalIF":0.5000,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Tropical Doctor","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/00494755251344650","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
Abstract
Malaria incidence has significantly declined worldwide and Turkey has not been classified as an endemic region since 2016. By 2023, all cases reported in the country were linked to travels to an endemic region. In this report, four cases of malaria caused by Plasmodium falciparum are presented from the province of Kayseri but with no history of travel to any malaria-endemic region. Three cases were diagnosed by reverse transcription-polymerase chain reaction. The second case had mixed parasitemia of P. falciparum and P. vivax. Artemether (20 mg)-lumefantrin were given to all patients. After discharge, the first and fourth malaria cases were admitted with recurrent parasitaemia. They were re-treated and then recovered. The second case improved, but the third case developed organ failure and died. Malaria should be considered in the preliminary clinical diagnosis of patients even when no history of endemic region residence can be verified.
期刊介绍：
The only journal written by and for health workers in low and middle-income countries, Tropical Doctor provides medical expertise and practical advice on how to apply current medical knowledge to the special circumstances of LMIC countries. This journal provides an ideal forum for sharing experiences and establishing best practice, aiding communication between medical professionals in different environments.
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