Symptomatic Falciparum Malaria After Living in a Nonendemic Area for 10 Years: Recrudescence or Indigenous Transmission?

Joaquín Salas-Coronas Tropical Medicine Unit, Hospital de Poniente, Almería, Spain.
CEMyRI (Center for the Study of Migration and Intercultural Relations) of the University of Almería, Almería, Spain.

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Manuel Jesús Soriano-Pérez Tropical Medicine Unit, Hospital de Poniente, Almería, Spain.

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Ana B. Lozano-Serrano Tropical Medicine Unit, Hospital de Poniente, Almería, Spain.

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Rosario Pérez-Moyano Hematology Unit, Hospital de Poniente, Almería, Spain.

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Carmen Porrino-Herrera Biotechnology Service, Hospital de Poniente, Almería, Spain.

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María Teresa Cabezas-Fernández Tropical Medicine Unit, Hospital de Poniente, Almería, Spain.
CEMyRI (Center for the Study of Migration and Intercultural Relations) of the University of Almería, Almería, Spain.

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We report the case of a patient from Mali who, after 10 years of living in Spain, presented with symptomatic Plasmodium falciparum malaria without having visited an endemic area during that time. We cannot completely rule out the possibility of indigenous transmission, but this case most likely represents recrudescence of an infection acquired over 10 years earlier.

Author Notes

* Address correspondence to Joaquín Salas-Coronas, Tropical Medicine Unit, Hospital de Poniente, Ctra, de Almerimar sn, 04720 El Ejido, Almería, Spain. E-mail: joaquinsalascoronas@yahoo.es

Financial support: This study has been conducted within the activities developed by the research group PAIDI CTS 582 of the regional Ministry of Gender, Health and Social Policy of the Government of Andalusia, Red de Investigación Cooperativa en Enfermedades Tropicales (RICET) and the CEMyRI (Centre for the Study of Migration and Intercultural Relations) of the University of Almería (Spain).

Authors' addresses: Joaquín Salas-Coronas, Manuel Jesús Soriano-Pérez, Ana B. Lozano-Serrano, and María Teresa Cabezas-Fernández, Tropical Medicine Unit, Hospital de Poniente, El Ejido, Almería, Spain, E-mails: joaquinsalascoronas@yahoo.es, manueljsoriano@hotmail.com, anbelose@gmail.com, and tcabezasf@yahoo.es. Rosario Pérez-Moyano, Hematology Unit, Hospital de Poniente de Almeria, Andalucía, Spain, E-mail: rosario.perez@ephpo.es. Carmen Porrino-Herrera, BIotechnology Service, Hospital de Poniente de Almeria, Andalucía, Spain, E-mail: mariadelcarmen.porrino@ephpo.es.

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