Malaria in children.

Abstract

The incidence of malaria in the United States has tripled during the past decade. A high index of suspicion for this diagnosis is warranted in travelers, visitors and refugees who have persistent fever. The possibility of malaria in children among these groups should not be overlooked. A common cause of malaria in travelers returning to the United States from endemic areas is failure to complete the appropriate course of chemoprophylaxis. Except in Plasmodium falciparum infections, treatment should include both chloroquine and primaquine to curb relapse.