Evaluation of Imported Malaria Cases in Northern Cyprus between 2016 and 2019: First Data Series

Objective:In present times, malaria remains an infectious disease with a high mortality rate in some regions of the world. It is predicted to preserve its importance as a disease in the future because of the traveling human populations from malaria-endemic African countries into the regions where ma...

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Main Authors: Emrah Güler, Ahmet Özbilgin, İbrahim Çavuş, Tamer Şanlıdağ, Kaya Süer
Format: Article
Language:English
Published: Galenos Yayinevi 2020-09-01
Series:Türkiye Parazitoloji Dergisi
Subjects:
Online Access: http://www.turkiyeparazitolderg.org/archives/archive-detail/article-preview/evaluation-of-mported-malaria-cases-in-northern-cy/40162
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author Emrah Güler
Ahmet Özbilgin
İbrahim Çavuş
Tamer Şanlıdağ
Kaya Süer
author_facet Emrah Güler
Ahmet Özbilgin
İbrahim Çavuş
Tamer Şanlıdağ
Kaya Süer
author_sort Emrah Güler
collection DOAJ
description Objective:In present times, malaria remains an infectious disease with a high mortality rate in some regions of the world. It is predicted to preserve its importance as a disease in the future because of the traveling human populations from malaria-endemic African countries into the regions where malaria has been eradicated. The objective of this study is to evaluate the increasing imported malaria cases in the Turkish Republic of Northern Cyprus.Methods:In this study, we investigated 13 patients who were diagnosed with malaria between 2016 and 2019. We clinically evaluated all the cases. More importantly, we made the diagnosis of these patients by Giemsa-stained thin and thick blood smears, rapid malaria antigen tests, and genotyping (only for five patients) by real-time polymerase chain reaction. Additionally, we evaluated patients with malaria in terms of age, gender, and seasons.Results:In the diagnosed malaria cases, 11 (84.4%) of them were male and 2 (15.6%) were female. There was no significance between malaria infection and gender (p=0.358). Plasmodium falciparum, Plasmodium vivax, and Plasmodium ovale infection were detected in ten patients (76.9%), two (15.4%) patients, and one (7.7%) patient, respectively. There was a significant increase (p=0.003) in the malaria cases in 2019 (n=9). The seasonal comparison revealed that malaria infections are most common in autumn (8/13, 61.5%).Conclusion:Despite the eradication of malaria in Turkish Republic of Northern Cyprus, the rising number of recently imported cases increases the risk of emerging local cases. Malaria infection should be immediately suspected, particularly, in foreign patients who travel from the malaria-endemic region and present with symptoms such as fever and shivering if the laboratory findings especially detect thrombocytopenia.
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spelling doaj.art-ef842c29b00243d0a6a00c285a3518602023-02-15T16:20:45ZengGalenos YayineviTürkiye Parazitoloji Dergisi2146-30772146-30772020-09-0144312613110.4274/tpd.galenos.2020.683413049054Evaluation of Imported Malaria Cases in Northern Cyprus between 2016 and 2019: First Data SeriesEmrah Güler0Ahmet Özbilgin1İbrahim Çavuş2Tamer Şanlıdağ3Kaya Süer4 Yakın Doğu Üniversitesi Tıp Fakültesi, Tıbbi Mikrobiyoloji ve Klinik Mikrobiyoloji Anabilim Dalı, Lefkoşa, KKTC Manisa Celal Bayar Üniversitesi Tıp Fakültesi, Parazitoloji Anabilim Dalı, Manisa, Türkiye Manisa Celal Bayar Üniversitesi Tıp Fakültesi, Parazitoloji Anabilim Dalı, Manisa, Türkiye Yakın Doğu Üniversitesi, DESAM Enstitüsü, Lefkoşa, KKTC Yakın Doğu Üniversitesi Hastanesi, Enfeksiyon Hastalıkları ve Mikrobiyoloji Kliniği, Lefkoşa, KKTC Objective:In present times, malaria remains an infectious disease with a high mortality rate in some regions of the world. It is predicted to preserve its importance as a disease in the future because of the traveling human populations from malaria-endemic African countries into the regions where malaria has been eradicated. The objective of this study is to evaluate the increasing imported malaria cases in the Turkish Republic of Northern Cyprus.Methods:In this study, we investigated 13 patients who were diagnosed with malaria between 2016 and 2019. We clinically evaluated all the cases. More importantly, we made the diagnosis of these patients by Giemsa-stained thin and thick blood smears, rapid malaria antigen tests, and genotyping (only for five patients) by real-time polymerase chain reaction. Additionally, we evaluated patients with malaria in terms of age, gender, and seasons.Results:In the diagnosed malaria cases, 11 (84.4%) of them were male and 2 (15.6%) were female. There was no significance between malaria infection and gender (p=0.358). Plasmodium falciparum, Plasmodium vivax, and Plasmodium ovale infection were detected in ten patients (76.9%), two (15.4%) patients, and one (7.7%) patient, respectively. There was a significant increase (p=0.003) in the malaria cases in 2019 (n=9). The seasonal comparison revealed that malaria infections are most common in autumn (8/13, 61.5%).Conclusion:Despite the eradication of malaria in Turkish Republic of Northern Cyprus, the rising number of recently imported cases increases the risk of emerging local cases. Malaria infection should be immediately suspected, particularly, in foreign patients who travel from the malaria-endemic region and present with symptoms such as fever and shivering if the laboratory findings especially detect thrombocytopenia. http://www.turkiyeparazitolderg.org/archives/archive-detail/article-preview/evaluation-of-mported-malaria-cases-in-northern-cy/40162 turkish republic of northern cyprusmalariaplasmodiumimported
spellingShingle Emrah Güler
Ahmet Özbilgin
İbrahim Çavuş
Tamer Şanlıdağ
Kaya Süer
Evaluation of Imported Malaria Cases in Northern Cyprus between 2016 and 2019: First Data Series
Türkiye Parazitoloji Dergisi
turkish republic of northern cyprus
malaria
plasmodium
imported
title Evaluation of Imported Malaria Cases in Northern Cyprus between 2016 and 2019: First Data Series
title_full Evaluation of Imported Malaria Cases in Northern Cyprus between 2016 and 2019: First Data Series
title_fullStr Evaluation of Imported Malaria Cases in Northern Cyprus between 2016 and 2019: First Data Series
title_full_unstemmed Evaluation of Imported Malaria Cases in Northern Cyprus between 2016 and 2019: First Data Series
title_short Evaluation of Imported Malaria Cases in Northern Cyprus between 2016 and 2019: First Data Series
title_sort evaluation of imported malaria cases in northern cyprus between 2016 and 2019 first data series
topic turkish republic of northern cyprus
malaria
plasmodium
imported
url http://www.turkiyeparazitolderg.org/archives/archive-detail/article-preview/evaluation-of-mported-malaria-cases-in-northern-cy/40162
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AT ibrahimcavus evaluationofimportedmalariacasesinnortherncyprusbetween2016and2019firstdataseries
AT tamersanlıdag evaluationofimportedmalariacasesinnortherncyprusbetween2016and2019firstdataseries
AT kayasuer evaluationofimportedmalariacasesinnortherncyprusbetween2016and2019firstdataseries