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Severe vivax malaria in the Republic of Korea during the period 2000 to 2016

Authors
 Seong Yeon Park  ;  Yoon Soo Park  ;  Yoonseon Park  ;  Yee Gyung Kwak  ;  Je Eun Song  ;  Kkot Sil Lee  ;  Shin-Hyeong Cho  ;  Sang-Eun Lee  ;  Hyun-Il Shin  ;  Joon-Sup Yeom 
Citation
 Travel Medicine and Infectious Disease, Vol.30 : 108-113, 2019 
Journal Title
TRAVEL MEDICINE AND INFECTIOUS DISEASE
ISSN
 1477-8939 
Issue Date
2019
MeSH
Adult ; Female ; Humans ; Malaria, Vivax/epidemiology* ; Malaria, Vivax/pathology ; Male ; Middle Aged ; Republic of Korea/epidemiology ; Retrospective Studies
Keywords
Plasmodium vivax ; Republic of Korea ; Severe malaria
Abstract
BACKGROUND: There has been a marked increase in the reporting of confirmed vivax malaria cases in certain geographical areas. This study investigated cases of severe vivax malaria in the Republic of Korea.

METHODS: We retrospectively reviewed the medical records of adult patients diagnosed with vivax malaria in the Republic of Korea during the period 2000 to 2016. Diagnosis was made using the World Health Organization criteria, with the exception of parasite density.

RESULTS: Among 1366 malaria cases, 255 (18.7%) were classified as severe vivax malaria, and 46 (3.4%) required intensive care. None of patients died of malaria. Patients with severe vivax malaria were older and had more comorbidity. The enrollment periods were classified into three groups, 2000 to 2005 (506 cases), 2006 to 2010 (696 cases), and 2011 to 2016 (304 cases). Malaria cases decreased from 2011 to 2016, but severe malaria cases increased significantly over time (14.3%, 20.1%, and 22.8%, p = 0.003). Common severe manifestations were shock (45.6%) and jaundice (43.1%).

CONCLUSIONS: Cases of severe malaria increased, and shock and jaundice were the predominant findings of severe vivax malaria in the Republic of Korea.
Full Text
https://www.sciencedirect.com/science/article/pii/S1477893918304411
DOI
10.1016/j.tmaid.2019.04.013
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Yeom, Joon Sup(염준섭) ORCID logo https://orcid.org/0000-0001-8940-7170
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/173388
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