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Resolution of Case

  • Endemic transmission of malaria in the Carribean region ended in 1960 except for Haiti and the Dominical Republic
  • Of 72 cases occurring in visits to Haiti only 6% reported taking prophylaxis
  • Recent reports of chloroquine resistance in Haiti demands higher vigilance
  • This patient failed to take any chemoprophylaxis
  • When he entered the hospital he had a parasitemia of 5%-after oral chloroquine, it dropped to 1%
  • Became hypotensive and had multiple organ failures
  • Death occurred 3 days after hospitalization from acute respiratory arrest