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Jonathan M. Zenilman, MD

JAMA. 1997;278(10):847-850.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

CASE PRESENTATION

A 35-year-old Maryland woman came to her local hospital on December 4, 1994, complaining of fever and chills for 1 week. She was 25 weeks pregnant. Four weeks earlier, she and her husband and young daughter had visited relatives in a city about 320 km northwest of Bombay, India. She had not received pretravel vaccinations or malaria prophylaxis, and she did not take any specific food or water precautions while in India. She had felt well during the trip. She had returned to Maryland on November 24.

On November 29, she developed fever and chills. Her private physician examined her that day and prescribed oral ampicillin to treat a sore throat. When her fever persisted, she was admitted to the local hospital on December 4. Evaluation included blood cultures and multiple Giemsa-stained thick smears for malaria. On December 5, a physician diagnosed malaria after identifying a Plasmodium falciparum parasite . . . [Full Text PDF of this Article]

Author Affiliations
From the Division of Infectious Diseases, The Johns Hopkins University School of Medicine, Baltimore, Md.

Footnotes
Reprints: Jonathan M. Zenilman, MD, Division of Infectious Diseases, The Johns Hopkins University School of Medicine, Ross Research Bldg, Room 1159, 720 Rutland Ave, Baltimore, MD 21205 (e-mail: jzenilma@welchlink.welch.jhu.edu).

Grand Rounds at The Johns Hopkins Hospital section editors: David B. Hellmann, MD, D. William Schlott, MD, Stephen D. Sisson, MD, The Johns Hopkins Hospital, Baltimore, Md; David S. Cooper, MD, Contributing Editor, JAMA.

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