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Malawi Medical Journal
College of Medicine, University of Malawi and Medical Association of Malawi
ISSN: 1995-7262
Vol. 19, No. 4, 2007, pp. 140-141
Bioline Code: mm07038
Full paper language: English
Document type: Research Article
Document available free of charge

Malawi Medical Journal, Vol. 19, No. 4, 2007, pp. 140-141

 en Presentation of Trypanosomiasis in Nkhotakota
Chisi, J.; Nkhoma, A. & Sternberg, J.


In 2002, we identified 28 people in Nkhotakota District who were suffering from Human African Trypanosomiasis (HAT). Sixteen of these were identified when they presented to the District Hospital with a febrile illness. The remaining twelve were identified through a rural cross-sectional survey, in which 500 people were visited in their homes, persons found to be febrile, were examined by blood film microscopy. Of the 28 people, 50% (14) presented within a month of the onset of symptoms. Sixteen (57%) had splenomegaly, and 24 were anaemic ([Hb] <12 g/dl). Four patients died (14%), of which two were in the late stage of the disease. None of the patients recall having a chancre that could be attributed to the bite of tsetse flies. 9 out of 28 (32%) reported illness longer than 90 days. Of the 9 patients 6 (66%) of them remained in the early stage after reporting illness of 180 days. This study reports on the prevalence and clinical features of Trypanosoma brucei rhodesiense infection in a endemic district in Malawi.

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