Guillain-Barr�� syndrome in Plasmodium falciparum malaria.

A patient with Plasmodium falciparum malaria developed peripheral neuropathy. Clinical, cerebro-spinal fluid examination and nerve conduction studies confirmed Guillain-Barré syndrome, not previously reported in P. falciparum malaria.     

Ebola in West Africa: an international medical emergency

West Africa is facing the worst Ebola outbreak with 3 685 cases and 1 841 deaths reported from Liberia, Guinea, Senegal, Sierra Leona and Nigeria. There is no vaccine or direct treatment available to treat the patients with Ebola. World Health Organization (WHO) has approved the use of experimental drugs for Ebola patients. Health workers are at high risk. The governments and WHO are responsible to provide necessary protective equipment to health workers dealing with Ebola. There is a strong need to identify the invisible chains of virus transmission. World Bank pledges $200 million to fight against Ebola, while WHO said $430 million are needed to control the Ebola outbreak. Ebola can be contained by early detection and isolation of case, contact tracing, monitoring of contacts and adaptation of rigorous procedures for virus control.     

Chloroquine-resistant Plasmodium falciparum malaria in Vanuatu

Cases of malaria caused by Plasmodium falciparum resistant to chloroquine treatment have been probably occurring in Vanuatu for many years. In this survey, seven patients with P. falciparum malaria were investigated for evidence of resistance to chloroquine. In-vitro resistance to chloroquine was demonstrated in four. Two further patients who had clinical resistance to chloroquine treatment developed cerebral malaria. It is of interest that one of these patients was subsequently successfully treated with mepacrine. Two additional cases are cited as examples of resistance to chloroquine treatment encountered in the past.     

Subarachnoid haemorrhage in Plasmodium falciparum malaria

A 41 year old man with cerebral malaria was found to have numerous bilateral retinal haemorrhages and very high parasitaemia. Despite intensive treatment his condition deteriorated and he died. Autopsy showed subarachnoid haemorrhage, which has not been previously described in cerebral malaria.     

新疆2例输入性恶性疟重症病例调查

目的通过调查输入性疟疾,及时根治和控制疟疾传播。方法对2011年3月2日和4月1日两例入境检出感染疟疾的劳务人员进行流行病学调查和追踪监测。结果检出的两例恶性疟疾经多次发病和抗疟治疗,血涂片复查仍有疟原虫,可能是由于治疗不规范或抗药性造成。结论随着新疆劳务输出的增加,将伴随输入性传染病增多的危险。因此加强对归国和前往疫区的劳务人员疟疾感染的预防和控制,对疟疾感染者要按疗程足量进行根治,有效防止疟疾传播。