Symptomatic Falciparum Malaria After Living in a Nonendemic Area for 10 Years: Recrudescence or Indigenous Transmission?

• DOI: 10.4269/ajtmh.17-0031
• Publication Date: 2017-03-27T19:46:00Z
• Authors: Joaquín Salas-Cor...; Manuel Jesús Sori...; Ana B. Lozano-Ser...; Rosario Pérez-Moyano; Carmen Porrino-He...; María Teresa Cabe...
• Keywords: Adult; Male; Plasmodium falciparum; Emigrants and Immigrants; Mali; 3. Good health; Antimalarials; 03 medical and health sciences; 0302 clinical medicine; Recurrence; Spain; Humans; Malaria, Falciparum

We report the case of a patient from Mali who, after 10 years of living in Spain, presented with symptomatic Plasmodium falciparum malaria without having visited an endemic area during that time. We cannot completely rule out the possibility of indigenous transmission, but this case most likely represents recrudescence of an infection acquired over 10 years earlier.