Malaria patients who were admitted to the Department of Infectious Diseases of the Tokyo Metropolitan Bokutoh General Hospital during the past 8 years are reviewed. Cases included 17 patients infected with
Plasmodium falciparum (14 Japanese), 13 patients infected with
P. vivax (9 Japanese), 3 patients infected with
P. ovale (2 Japanese) and 1 Chinese patient with a mixed infection of
P. falciparum and P. vivax. About 70% of Japanese patients infected with
P. falciparum contracted the disease in Africa, about 90%
P. vivax-infected Japanese patients contracted the disease in Asia and all
P. ovate-infected patients contracted the disease in Africa. Only 13% of all (17% of Japanese) patients infected with
P. falciparum who initially contacted doctors of other Japanese hospitals were correctly diagnosed, but 78% of all (67% of Japanese) patients infected with
P. vivax who initially contacted doctors of other Japanese hospitals were correctly diagnosed. At present, malaria is not a rare disease in Tokyo among travelers to or from Africa or Asia.
(Internal Medicine 35: 111-114, 1996)
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