Fever, headache, and abdominal pain in an African male

Michael L. Cimo, Rita Gander, Paul M. Southern

Research output: Contribution to journalArticlepeer-review


Principal Clinical Findings: The patient was a 44-year-old African male who had slightly decreased hemoglobin and hematocrit; decreased platelet count; increased serum glucose; increased total and indirect bilirubin; increased lactate dehydrogenase; and increased ferritin levels. Other History: The patient is a native of the Congo and recently traveled there with use of chloroquine as a prophylaxis against malaria. Most Likely Diagnosis: Co-infection with P. falciparum and P. ovale. Take-Home Message: Appropriate selection of antimalarial chemotherapy depends on not just the species of malaria present, but also the degree of parasitemia and the geographic/travel history of the patient. Most antimalarial treatments are well tolerated except for mefloquine whose potential side effects include neurotoxicity and cardiotoxicity.

Original languageEnglish (US)
Pages (from-to)90-94
Number of pages5
JournalLaboratory medicine
Issue number2
StatePublished - Feb 2005


  • Gametocyte
  • Hypnozoite
  • Malaria
  • Merozoite
  • Parasitemia
  • Plasmodium
  • Schizont
  • Trophozoite

ASJC Scopus subject areas

  • Clinical Biochemistry
  • Biochemistry, medical


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