Malaria Probably Locally Acquired in New Jersey

Abstract

Because she had not traveled to an area of endemic malaria, a diagnosis of babesiosis was made and a therapeutic course of quinine and clindamycin was started. Because of the anemia, leukopenia, and thrombocytopenia, a bone marrow biopsy was performed on September 21 to rule out a diagnosis of leukemia. [Image Omitted: See PDF] From the Division of Epidemiology, Environmental and Occupational Health Services, New Jersey Department of Health, Trenton (J.H.B., C.A.G., K.C.S.); and the Malaria Branch, Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta (P.B.B., J.R.Z.).