Malaria in Birmingham and a London teaching hospital.
Identifieur interne : 003881 ( Main/Exploration ); précédent : 003880; suivant : 003882Malaria in Birmingham and a London teaching hospital.
Auteurs : C J Ellis ; S J Eykyn ; P. Watkins ; M. Bell ; A M GeddesSource :
- British Medical Journal [ 0007-1447 ] ; 1979-02-10.
English descriptors
- Teeft :
- Appropriate advice, Asbestos, Blood film, Blood films, Case reports, Casualty department, Cerebral malaria, East birmingham hospital, Endemic zone, Ethnic origin, Falciparum, Falciparum malaria, First time, First trimester, General practitioner, General practitioners, Hospital pharmacists, Immigrant population, Inappropriate advice, Indian subcontinent, Interstitial fibrosis, Intravenous chloroquine, Intravenous quinine, June, Lassa fever, Likely diagnosis, London teaching hospital, Malaria, Malaria reference laboratory, Malarial parasites, Malarial zone, Malarious, Malarious country, Malarious zone, Many cases, Many clinicians, Many patients, Other diseases, Parasite, Practitioner, Prophylactic, Prophylactic antimalarial drugs, Prophylactic drugs, Several years, Severe disease, Subcontinent, Thick film, Vivax, Vivax infections, Vivax malaria.
Abstract
During the past five years the incidence of imported malaria increased among patients seen in East Birmingham Hospital and in St Thomas's Hospital, London. Plasmodium vivax was the predominant species in Birmingham, and was almost always acquired by Asian immigrants visiting the Indian subcontinent. In St Thomas's P falciparum was most commonly imported, usually by African immigrants visiting Nigeria and Ghana. Two patients (one Irish, one Japanese) died of falciparum malaria after visiting tropical Africa. In both hospitals the immigrant patients had seldom taken prophylactic drugs, and the few who had, ceased to do so on arrival in the UK and sometimes before leaving the malarious country. Apparently immigrants who visit their homeland do not consult their general practitioners before travelling, are given inappropriate advice, or do not take appropriate advice when given. Since the incidence of imported falciparum malaria in the UK is rising, the following points should be considered: the infection may be lethal, particularly in patients lacking immunity; it can mimic other diseases, which may lead to delayed diagnosis; severe disease may be associated with few parasites on a blood film, and even if the result is negative further tests should be performed; clinicians and hospital pharmacists should be aware of the need to keep permanent stocks of parenteral chloroquine and quinine preparations.
Url:
DOI: 10.1136/bmj.1.6160.385
Affiliations:
Links toward previous steps (curation, corpus...)
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Le document en format XML
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Bell</name></author><author><name sortKey="Geddes, A M" sort="Geddes, A M" uniqKey="Geddes A" first="A M" last="Geddes">A M Geddes</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:276918DEAAE1C195D68E4AE7EFAD31941DB2AD59</idno><date when="1979" year="1979">1979</date><idno type="doi">10.1136/bmj.1.6160.385</idno><idno type="url">https://api.istex.fr/ark:/67375/NVC-QJMFNZWQ-8/fulltext.pdf</idno><idno type="wicri:Area/Istex/Corpus">001C82</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">001C82</idno><idno type="wicri:Area/Istex/Curation">001C82</idno><idno type="wicri:Area/Istex/Checkpoint">002637</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Checkpoint">002637</idno><idno type="wicri:doubleKey">0007-1447:1979:Ellis C:malaria:in:birmingham</idno><idno type="wicri:Area/Main/Merge">003960</idno><idno type="wicri:Area/Main/Curation">003881</idno><idno type="wicri:Area/Main/Exploration">003881</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Malaria in Birmingham and a London teaching hospital.</title><author><name sortKey="Ellis, C J" sort="Ellis, C J" uniqKey="Ellis C" first="C J" last="Ellis">C J Ellis</name></author><author><name sortKey="Eykyn, S J" sort="Eykyn, S J" uniqKey="Eykyn S" first="S J" last="Eykyn">S J Eykyn</name></author><author><name sortKey="Watkins, P" sort="Watkins, P" uniqKey="Watkins P" first="P" last="Watkins">P. Watkins</name></author><author><name sortKey="Bell, M" sort="Bell, M" uniqKey="Bell M" first="M" last="Bell">M. Bell</name></author><author><name sortKey="Geddes, A M" sort="Geddes, A M" uniqKey="Geddes A" first="A M" last="Geddes">A M Geddes</name></author></analytic><monogr></monogr><series><title level="j">British Medical Journal</title><title level="j" type="abbrev">Br Med J</title><idno type="ISSN">0007-1447</idno><idno type="eISSN">1468-5833</idno><imprint><publisher>British Medical Journal Publishing Group</publisher><date type="published" when="1979-02-10">1979-02-10</date><biblScope unit="volume">1</biblScope><biblScope unit="issue">6160</biblScope><biblScope unit="page" from="385">385</biblScope></imprint><idno type="ISSN">0007-1447</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0007-1447</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="Teeft" xml:lang="en"><term>Appropriate advice</term><term>Asbestos</term><term>Blood film</term><term>Blood films</term><term>Case reports</term><term>Casualty department</term><term>Cerebral malaria</term><term>East birmingham hospital</term><term>Endemic zone</term><term>Ethnic origin</term><term>Falciparum</term><term>Falciparum malaria</term><term>First time</term><term>First trimester</term><term>General practitioner</term><term>General practitioners</term><term>Hospital pharmacists</term><term>Immigrant population</term><term>Inappropriate advice</term><term>Indian subcontinent</term><term>Interstitial fibrosis</term><term>Intravenous chloroquine</term><term>Intravenous quinine</term><term>June</term><term>Lassa fever</term><term>Likely diagnosis</term><term>London teaching hospital</term><term>Malaria</term><term>Malaria reference laboratory</term><term>Malarial parasites</term><term>Malarial zone</term><term>Malarious</term><term>Malarious country</term><term>Malarious zone</term><term>Many cases</term><term>Many clinicians</term><term>Many patients</term><term>Other diseases</term><term>Parasite</term><term>Practitioner</term><term>Prophylactic</term><term>Prophylactic antimalarial drugs</term><term>Prophylactic drugs</term><term>Several years</term><term>Severe disease</term><term>Subcontinent</term><term>Thick film</term><term>Vivax</term><term>Vivax infections</term><term>Vivax malaria</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">During the past five years the incidence of imported malaria increased among patients seen in East Birmingham Hospital and in St Thomas's Hospital, London. Plasmodium vivax was the predominant species in Birmingham, and was almost always acquired by Asian immigrants visiting the Indian subcontinent. In St Thomas's P falciparum was most commonly imported, usually by African immigrants visiting Nigeria and Ghana. Two patients (one Irish, one Japanese) died of falciparum malaria after visiting tropical Africa. In both hospitals the immigrant patients had seldom taken prophylactic drugs, and the few who had, ceased to do so on arrival in the UK and sometimes before leaving the malarious country. Apparently immigrants who visit their homeland do not consult their general practitioners before travelling, are given inappropriate advice, or do not take appropriate advice when given. Since the incidence of imported falciparum malaria in the UK is rising, the following points should be considered: the infection may be lethal, particularly in patients lacking immunity; it can mimic other diseases, which may lead to delayed diagnosis; severe disease may be associated with few parasites on a blood film, and even if the result is negative further tests should be performed; clinicians and hospital pharmacists should be aware of the need to keep permanent stocks of parenteral chloroquine and quinine preparations.</div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Bell, M" sort="Bell, M" uniqKey="Bell M" first="M" last="Bell">M. Bell</name><name sortKey="Ellis, C J" sort="Ellis, C J" uniqKey="Ellis C" first="C J" last="Ellis">C J Ellis</name><name sortKey="Eykyn, S J" sort="Eykyn, S J" uniqKey="Eykyn S" first="S J" last="Eykyn">S J Eykyn</name><name sortKey="Geddes, A M" sort="Geddes, A M" uniqKey="Geddes A" first="A M" last="Geddes">A M Geddes</name><name sortKey="Watkins, P" sort="Watkins, P" uniqKey="Watkins P" first="P" last="Watkins">P. Watkins</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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