Springer Nature
European Journal of Clinical Microbiology and Infectious Diseases
,  volume 43 ,  issue 11 ,  pages 2201-2210

Imported malaria in a non-endemic country: sixteen years of cases in a hospital in the South of Madrid, Spain

Publication type: Journal Article
Publication date: 2024-09-17
Springer Nature
scimago Q1
wos Q2
SJR: 0.986
CiteScore: 7.3
Impact factor: 3.0
ISSN: 09349723, 14354373
Abstract
Purpose

Malaria keeps on being a serious global health threat, especially in many tropical countries, where it is endemic. Also in non-endemic countries, like Spain, malaria is an issue that requires attention due to the presence of imported cases.

Methods

This is a retrospective study, including all patients diagnosed with malaria at Severo Ochoa University Hospital from 2006 to 2022, being classified according to: (I) their type of stay in an endemic area as visiting friends and relatives (VFR), migrants of recent arrival (MRA), or tourism and business (T&B), and (II) the mode of presentation as microscopic (MM) or submicroscopic (SMM) malaria.

Results

In this study, 132 patients (23.7% of all suspected) were diagnosed with malaria. The PCR was the most sensitive technique (99.2%), followed by antigen detection (78.8%) and microscopy (75%), with Plasmodium falciparum being the predominant species (94.7%). VFR was the largest group infected with malaria (69.7%), mostly symptomatic (98.2%) and presenting MM (90.2%). Instead, MRA patients (25%) presented milder (47.4%) or no symptoms (31.6%) and higher cases of SMM (42.4%). Coinfection with another imported pathogen was present in 19 patients (14.4%), being MRA more frequently coinfected (30.3%)

Conclusion

This study shows the need for establishing systems for VFRs to attend pre-travel consultations to reduce malaria imported risk. In the case of MRA, screening for imported diseases should be conducted upon their arrival. Finally, we highlight two cases of co-infection with imported viruses, showing that presence of symptoms resembling malaria from another imported pathogen does not exclude malaria.

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Antón-Berenguer V. et al. Imported malaria in a non-endemic country: sixteen years of cases in a hospital in the South of Madrid, Spain // European Journal of Clinical Microbiology and Infectious Diseases. 2024. Vol. 43. No. 11. pp. 2201-2210.
GOST all authors (up to 50) Copy
Antón-Berenguer V., Cabrera-Rodrigo I., Valle-Borrego B., Ligero-López J., Merino-Fernández F. J., Gómez-de-Frutos S., Rubio J. M. Imported malaria in a non-endemic country: sixteen years of cases in a hospital in the South of Madrid, Spain // European Journal of Clinical Microbiology and Infectious Diseases. 2024. Vol. 43. No. 11. pp. 2201-2210.
RIS |
Cite this
RIS Copy
TY - JOUR
DO - 10.1007/s10096-024-04938-0
UR - https://link.springer.com/10.1007/s10096-024-04938-0
TI - Imported malaria in a non-endemic country: sixteen years of cases in a hospital in the South of Madrid, Spain
T2 - European Journal of Clinical Microbiology and Infectious Diseases
AU - Antón-Berenguer, Víctor
AU - Cabrera-Rodrigo, Irene
AU - Valle-Borrego, Beatriz
AU - Ligero-López, Jorge
AU - Merino-Fernández, Francisco J.
AU - Gómez-de-Frutos, Sara
AU - Rubio, José Miguel
PY - 2024
DA - 2024/09/17
PB - Springer Nature
SP - 2201-2210
IS - 11
VL - 43
PMID - 39287796
SN - 0934-9723
SN - 1435-4373
ER -
BibTex |
Cite this
BibTex (up to 50 authors) Copy
@article{2024_Antón-Berenguer,
author = {Víctor Antón-Berenguer and Irene Cabrera-Rodrigo and Beatriz Valle-Borrego and Jorge Ligero-López and Francisco J. Merino-Fernández and Sara Gómez-de-Frutos and José Miguel Rubio},
title = {Imported malaria in a non-endemic country: sixteen years of cases in a hospital in the South of Madrid, Spain},
journal = {European Journal of Clinical Microbiology and Infectious Diseases},
year = {2024},
volume = {43},
publisher = {Springer Nature},
month = {sep},
url = {https://link.springer.com/10.1007/s10096-024-04938-0},
number = {11},
pages = {2201--2210},
doi = {10.1007/s10096-024-04938-0}
}
MLA
Cite this
MLA Copy
Antón-Berenguer, Víctor, et al. “Imported malaria in a non-endemic country: sixteen years of cases in a hospital in the South of Madrid, Spain.” European Journal of Clinical Microbiology and Infectious Diseases, vol. 43, no. 11, Sep. 2024, pp. 2201-2210. https://link.springer.com/10.1007/s10096-024-04938-0.