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Two cases of airport-associated falciparum malaria in Frankfurt am Main, Germany, October 2019
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Imke Wieters1,2
,
Philip Eisermann2,3
,
Frauke Borgans1
,
Katharina Giesbrecht1
,
Udo Goetsch4
,
Gudrun Just-Nübling1
,
Johanna Kessel1
,
Simone Lieberknecht1
,
Birgit Muntau3
,
Dennis Tappe3
,
Joscha Schork4,5
,
Timo Wolf1,5
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View Affiliations Hide AffiliationsAffiliations: 1 Infectious Diseases, Department of Internal Medicine II, University Hospital Frankfurt, Frankfurt am Main, Germany 2 These authors contributed equally to this work and share first authorship 3 National Reference Centre for Tropical Pathogens, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany 4 Municipal Health Protection Authority, Frankfurt am Main, Germany 5 These authors contributed equally to this work and share last authorshipTimo WolfTimo.Wolf kgu.de
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Citation style for this article: Wieters Imke, Eisermann Philip, Borgans Frauke, Giesbrecht Katharina, Goetsch Udo, Just-Nübling Gudrun, Kessel Johanna, Lieberknecht Simone, Muntau Birgit, Tappe Dennis, Schork Joscha, Wolf Timo. Two cases of airport-associated falciparum malaria in Frankfurt am Main, Germany, October 2019. Euro Surveill. 2019;24(49):pii=1900691. https://doi.org/10.2807/1560-7917.ES.2019.24.49.1900691 Received: 12 Nov 2019; Accepted: 05 Dec 2019
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Abstract
Two cases of presumably airport-acquired falciparum malaria were diagnosed in Frankfurt in October 2019. They were associated with occupation at the airport, and Plasmodium falciparum parasites from their blood showed genetically identical microsatellite and allele patterns. Both had severe malaria. It took more than a week before the diagnosis was made. If symptoms are indicative and there is a plausible exposure, malaria should be considered even if patients have not travelled to an endemic area.

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