PEDIATRICS Vol. 92 No. 1 July 1993, pp. 83-85
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Malaria in Children in Chicago

Benjamin Emanuel MD1, Neil Aronson MD1, and Stanford Shulman MD2

1 From the Department of Pediatrics, Northwestern University Medical School, and the Division of General Pediatrics, Children's Memorial Hospital, Chicago, IL.
2 From the Department of Pediatrics, Northwestern University Medical School, and the Division of Infectious Diseases, Children's Memorial Hospital, Chicago, IL.

Objective. To review the experience of a large children's hospital and two community hospitals in Chicago in which malaria was diagnosed in children during a recent 6-year period.

Methods. Retrospective medical record review covering the years 1985 to 1990.

Results. Twenty cases of childhood malaria were diagnosed, generally in patients hospitalized for fever unresponsive to oral antibiotics also associated with splenomegaly, with presumptive diagnoses of malignancy, typhoid fever, acute appendicitis, or urinary tract infection. History of recent immigration to the United States or travel to a malaria-endemic area was frequently not elicited until several days into hospitalization, thus delaying diagnosis and therapy.

Conclusions. Because malaria in the United States pediatric population has increased as a result of foreign immigration and overseas travel, pediatricians must be alert to the possibility of malaria in febrile children, and the importance of antimalarial prophylaxis should be communicated to parents of children traveling to endemic areas.

Key Words: malaria • fever • childhood • splenomegaly

Submitted on August 24, 1992
Accepted on January 5, 1993




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