Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0024530 (malaria)
 44,886 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

As part of the framework of studies on personal protection against disease-transmitting mosquitoes, a field evaluation was carried out in a forest area of Cameroon on human subjects to assess the efficacy of a common repellent: DEET (a 50% active ingredient formulation). One ml of DEET applied to the legs of resting persons gave an 85% reduction in Anopheles bites during the 5 hours following application. The repellent effect decreased gradually with time. The effect was more than 90% maximum after 3 hours, 50% by about the seventh hour and declined to 0% from the fifteenth hour onwards. No difference was found between the three Anopheles species: Anopheles gambiae ss, An. nili and An. funestus. The longevity and infectivity of Anopheles populations caught on humans with repellent and on untreated controls were similar. Thus the reduction of biting rate can be considered equivalent to the reduction in malaria transmission. The effect of sweating on the loss of the applied repellent was studied. Moderate sweating, corresponding to normal activity, did not reduce the efficacy of the repellent. More profuse sweating did not significantly reduce repellent efficacy. We conclude that the tested formulation of DEET has the same efficacy as commercial formulations already on the market. Protection did not last the whole night, which is the time required for protection against malarial infection. However, good protection levels lasted more than 5 hours.(ABSTRACT TRUNCATED AT 250 WORDS)
 ...
PMID:[Evaluation of a DEET-based repellent on 3 vectors of malaria in central Africa]. 792

Fever in a traveller returning from an area endemic with malaria is a medical emergency. Although malaria is rare in Canada, it is one of the commonest communicable diseases in the world. A history of prophylaxis is no guarantee that malaria has not been contracted. This case history details an example of failed prophylaxis, emergency room presentation, and emergency treatment for Plasmodium falciparum. Clinical manifestations of the disease can occur up to six months after return from a malarial region, especially if chemoprophylaxis delays initial presentation. Symptoms include the sudden onset of chills, rigor, fever, profuse sweating, prostration, malaise, myalgia, headache, anorexia, nausea, vomiting and diarrhea. A single negative blood film does not exclude the diagnosis.
 ...
PMID:Malaria: an important emergency room diagnosis. 2127 35

We report the largest outbreak of brucellosis in Penang, Malaysia. Brucellosis is not endemic in this region. The index case was a 45-year-old goat farm owner presented with 3 weeks of fever, headache, severe lethargy, poor appetite, and excessive sweating. He claimed to have consumed unpasteurized goat's milk that he had also sold to the public. Tests were negative for tropical diseases (i.e., dengue fever, malaria, leptospirosis and scrub typhus) and blood culture showed no growth. Based on epidemiological clues, Brucella serology was ordered and returned positive. Over a period of 1 year, 79 patients who had consumed milk bought from the same farm were diagnosed with brucellosis. Two of these patients were workers on the farm. Four laboratory staff had also contracted the disease presumably through handling of the blood samples. The mean duration from onset of symptoms to diagnosis was 53 days with a maximum duration of 210 days. A combination treatment of rifampin and doxycycline for 6 weeks was the first line of treatment in 90.5% of patients. One-third of the patients had sequelae after recovering and 21% had a relapse. We highlight the importance of Brucellosis as a differential diagnosis when a patient has unexplained chronic fever.
...
PMID:Outbreak of Human Brucellosis from Consumption of Raw Goats' Milk in Penang, Malaysia. 2605 42

BACKGROUND Blood pressure (BP) is not routinely screened in children in clinical practice. Renal cell carcinoma (RCC) is a rare cause of renal hypertension and accounts for less than 0.3% of all childhood tumors. The clinical manifestation of hypertension in children requires a high index of suspicion, as does RCC, which can have many different manifestations. CASE REPORT We report the case of a 10-year-old girl with 1-year history of persistent symptoms of recurrent episodes of headache and excessive sweating and a 6-months history of weight loss and loss of appetite. She was repeatedly managed as having malaria in the center where she was referred, without recovery. Persistent high BP was discovered in our center, which ranged between 180/120 and 200/120 mmHg. This was not controlled by 3 different classes of drugs. Abdominal ultrasonography showed a right kidney with a well circumscribed lower pole mass with internal echoes, compressing the pelvicalyceal system. Abdominal computed tomography revealed a huge, circumscribed, expansile, isodense mass arising from the renal cortex in the lower pole of the right kidney. Intraoperative findings included a mass seen at the lower pole of the right kidney with histology diagnosis of RCC. Other laboratory tests were normal. To date, the patient remains normotensive and symptom-free after nephrectomy. CONCLUSIONS The nonspecific clinical manifestation found in this case show the need for hypertension screening in children. The resolution of symptoms after nephrectomy confirms RCC as the underlying cause of symptoms, making this case a unique presentation.
 ...
PMID:A 10-Year Old Girl with Resistant Hypertension without Significant Indication of an Underlying Renal Cell Carcinoma, Misdiagnosed as Malaria. 3156 18