RESUMEN
In November 1999 nine European cases of malaria caused by Plasmodium falciparum reportedly were imported by tourists from the Dominican Republic. The incidence of malaria has increased since the hurricane George and since building activities for tourist centres have favoured growth of the mosquito population. Travellers to the Dominican Republic are advised to take precautions against mosquitoes and to take proguanil prophylaxis also malaria should be considered in patients with fever who have visited the area, if only as tourists.
Asunto(s)
Antimaláricos/uso terapéutico , Brotes de Enfermedades , Malaria Falciparum/epidemiología , Malaria Falciparum/prevención & control , Proguanil/uso terapéutico , Viaje , Brotes de Enfermedades/prevención & control , República Dominicana/epidemiología , Europa (Continente)/epidemiología , Humanos , Incidencia , Control de Mosquitos/métodos , Países Bajos/epidemiología , PrevalenciaRESUMEN
Two women, aged 27 and 42 years, both born in Surinam and both suffering from heterozygous thalassemia, developed cholestatic hepatitis three and two weeks respectively after the start of a two-day course of thiabendazol for Strongyloides stercoralis infection. Other causes of cholestasis were unlikely in view of the results of blood tests, echography and the endoscopic retrograde cholangiopancreaticography. The symptoms persisted for several months, and the liver function disorders for 7 years and one year, respectively. The incidence of thiabendazole-induced cholestatic hepatitis is unknown, but probably low.