Clinical features of vivax malaria.

M D Oh Department of Internal Medicine, Seoul National University College of Medicine, South Korea.

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H Shin Department of Internal Medicine, Seoul National University College of Medicine, South Korea.

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D Shin Department of Internal Medicine, Seoul National University College of Medicine, South Korea.

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U Kim Department of Internal Medicine, Seoul National University College of Medicine, South Korea.

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S Lee Department of Internal Medicine, Seoul National University College of Medicine, South Korea.

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N Kim Department of Internal Medicine, Seoul National University College of Medicine, South Korea.

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M H Choi Department of Internal Medicine, Seoul National University College of Medicine, South Korea.

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J Y Chai Department of Internal Medicine, Seoul National University College of Medicine, South Korea.

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K Choe Department of Internal Medicine, Seoul National University College of Medicine, South Korea.

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DOI:
https://doi.org/10.4269/ajtmh.2001.65.143
Volume/Issue:
Volume 65: Issue 2
Page(s):
143–146
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Plasmodium vivax malaria reemerged in the Republic of Korea in 1993 near the Demilitarized Zone (DMZ). We reviewed clinical features of 101 symptomatic patients with vivax malaria. Of the patients, 77 patients (76.3%) were veterans who had served near the DMZ; their median age was 23 years. The duration of the minimum latent period was > 6 months in 66.2% (51 of 77) of the patients (median, 278 days). Tertian fever developed in 69 patients (68.3%). Severe thrombocytopenia with platelet counts < 60,000/microL was common (29.6% of patients). The parasite densities ranged 32-52,127 parasites per microliter of blood (geometric mean, 1,287). The only complication was a splenic rupture in one patient. All patients responded promptly to chloroquine therapy. Our data suggest that the clinical features of reemerging vivax malaria may be similar to those of Korean vivax malaria reported in the past.

Author Notes

Published Online:
Aug 2001
Cover The American Journal of Tropical Medicine and Hygiene
The American Journal of Tropical Medicine and Hygiene
Print ISSN:
0002-9637
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