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Imported Malaria

Pediatric EM Morsels

2016 Apr; 32(4): 227–231. Worldwide, children <5 years old account for 76% of deaths related to malaria, but these are predominantly in Sub-Saharan Africa (WHO 2022) P. vivax , P. malariae , and the less common P. knowlesi and P. simium (Forgie 2022) P. vivax and P. falciparum parasitemia , and no other defined cause of AMS (WHO 2023).

Seizures 278
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The 79th Bubble Wrap x Bristol Royal Hospital For Children

Don't Forget the Bubbles

This study retrospectively identified 1,414 children, presenting to 15 UK EDs (2016 -2017), who had been screened for malaria. This was a secondary outcome embedded in the Travel Fever study – a multi-centre, retrospective diagnostic accuracy study for imported malaria. Paediatr Int Child Health. 2024 Jan 11:1-7. PMID: 38212934.

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ED care of refugee populations from sub-Saharan Africa

EMDocs

Surgical wound debridement and dressing are performed and the malaria rapid diagnostic test (MRDT) is noted to be positive. Based on available hospital resources, the patient is treated for septic shock secondary to pneumonia and an infected wound using broad-spectrum antibiotics and IV crystalloid fluids.