Medical Surveillance Monthly Report (MSMR). Volume 6, Number 2, February 2000
In October 1999, a team of seven soldiers and civilians traveled to Honduras to conduct an inspection mission. All team members were experienced travelers and all had been to Central or South America previously. The team did not seek medical advice prior to its departure. This report describes an ou...
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ftdtic:ADA497075 2023-05-15T16:17:47+02:00 Medical Surveillance Monthly Report (MSMR). Volume 6, Number 2, February 2000 DeFraite, Robert F. Rubertone, Mark V. Brundage, John F. Kohlhase, Kimmie F. Smith, Yvette E. ARMED FORCES HEALTH SURVEILLANCE CENTER SILVER SPRING MD 2000-02 text/html http://www.dtic.mil/docs/citations/ADA497075 http://oai.dtic.mil/oai/oai?&verb=getRecord&metadataPrefix=html&identifier=ADA497075 en eng http://www.dtic.mil/docs/citations/ADA497075 Approved for public release; distribution is unlimited. DTIC Anatomy and Physiology Medicine and Medical Research *MALARIA *ACUTE RESPIRATORY DISEASE VIRUS *HEADACHES *DEHYDRATION *PREVENTIVE MEDICINE *HYDRATION *SIGNS AND SYMPTOMS ACTIVE DUTY HOSPITALS OUTPATIENT CLINICS FEVERS ANTIMALARIALS ORAL INTAKE HONDURAS MEDICINE CHEMISTRY TEAMS(PERSONNEL) HEALTH ARMY PERSONNEL EMERGENCIES TEST AND EVALUATION REPRINTS Text 2000 ftdtic 2016-02-22T19:32:39Z In October 1999, a team of seven soldiers and civilians traveled to Honduras to conduct an inspection mission. All team members were experienced travelers and all had been to Central or South America previously. The team did not seek medical advice prior to its departure. This report describes an outbreak of malaria among the inspection team's members approximately four to six weeks after their return to the United States. Case 1: On 11 November 1999, a 49-year-old male soldier experienced fever, chills, and headache. Four weeks prior he had been the inspection team's leader during their 1-week mission in Honduras. He treated himself with Motrin, oral hydration, and rest. His symptoms resolved by the following morning but recurred that night. On the third day of his illness after another symptomatic episode, he presented to a civilian urgent care center. He reported his recent travel to Honduras and asked if he might have malaria. He was diagnosed with "the flu" and released. On the sixth day of recurrent episodes of progressively severe headaches, fevers to 104 F., and chills, he presented to the Lawrence Joel Army Health Clinic (LJAHC) at Fort McPherson, Georgia. His temperature was 103.7 F. oral and he had a positive finding on a tilt test. He reported no uses of antimalarial drugs until his third day in Honduras. At that time, he received doxycycline for chemoprophylaxis, which he took once a day for approximately one week. At the LJAHC, the soldier was presumptively diagnosed with malaria and dehydration. He was given 2 liters of lactated Ringers solution and transported to a civilian hospital where he received another 3 liters of fluids. When his fever had subsided and after a single negative blood smear, he was told that he did not have malaria and was discharged from the emergency room. Pub. in Medical Surveillance Monthly Report (MSMR), v6 n2, p1-16, February 2000. Analysis by Jonathan R. Greifer and Lawrence Joel. Text Fort McPherson Defense Technical Information Center: DTIC Technical Reports database Fort McPherson ENVELOPE(-134.826,-134.826,67.433,67.433) The Soldier ENVELOPE(-55.648,-55.648,52.217,52.217) |
institution |
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Defense Technical Information Center: DTIC Technical Reports database |
op_collection_id |
ftdtic |
language |
English |
topic |
Anatomy and Physiology Medicine and Medical Research *MALARIA *ACUTE RESPIRATORY DISEASE VIRUS *HEADACHES *DEHYDRATION *PREVENTIVE MEDICINE *HYDRATION *SIGNS AND SYMPTOMS ACTIVE DUTY HOSPITALS OUTPATIENT CLINICS FEVERS ANTIMALARIALS ORAL INTAKE HONDURAS MEDICINE CHEMISTRY TEAMS(PERSONNEL) HEALTH ARMY PERSONNEL EMERGENCIES TEST AND EVALUATION REPRINTS |
spellingShingle |
Anatomy and Physiology Medicine and Medical Research *MALARIA *ACUTE RESPIRATORY DISEASE VIRUS *HEADACHES *DEHYDRATION *PREVENTIVE MEDICINE *HYDRATION *SIGNS AND SYMPTOMS ACTIVE DUTY HOSPITALS OUTPATIENT CLINICS FEVERS ANTIMALARIALS ORAL INTAKE HONDURAS MEDICINE CHEMISTRY TEAMS(PERSONNEL) HEALTH ARMY PERSONNEL EMERGENCIES TEST AND EVALUATION REPRINTS DeFraite, Robert F. Rubertone, Mark V. Brundage, John F. Kohlhase, Kimmie F. Smith, Yvette E. Medical Surveillance Monthly Report (MSMR). Volume 6, Number 2, February 2000 |
topic_facet |
Anatomy and Physiology Medicine and Medical Research *MALARIA *ACUTE RESPIRATORY DISEASE VIRUS *HEADACHES *DEHYDRATION *PREVENTIVE MEDICINE *HYDRATION *SIGNS AND SYMPTOMS ACTIVE DUTY HOSPITALS OUTPATIENT CLINICS FEVERS ANTIMALARIALS ORAL INTAKE HONDURAS MEDICINE CHEMISTRY TEAMS(PERSONNEL) HEALTH ARMY PERSONNEL EMERGENCIES TEST AND EVALUATION REPRINTS |
description |
In October 1999, a team of seven soldiers and civilians traveled to Honduras to conduct an inspection mission. All team members were experienced travelers and all had been to Central or South America previously. The team did not seek medical advice prior to its departure. This report describes an outbreak of malaria among the inspection team's members approximately four to six weeks after their return to the United States. Case 1: On 11 November 1999, a 49-year-old male soldier experienced fever, chills, and headache. Four weeks prior he had been the inspection team's leader during their 1-week mission in Honduras. He treated himself with Motrin, oral hydration, and rest. His symptoms resolved by the following morning but recurred that night. On the third day of his illness after another symptomatic episode, he presented to a civilian urgent care center. He reported his recent travel to Honduras and asked if he might have malaria. He was diagnosed with "the flu" and released. On the sixth day of recurrent episodes of progressively severe headaches, fevers to 104 F., and chills, he presented to the Lawrence Joel Army Health Clinic (LJAHC) at Fort McPherson, Georgia. His temperature was 103.7 F. oral and he had a positive finding on a tilt test. He reported no uses of antimalarial drugs until his third day in Honduras. At that time, he received doxycycline for chemoprophylaxis, which he took once a day for approximately one week. At the LJAHC, the soldier was presumptively diagnosed with malaria and dehydration. He was given 2 liters of lactated Ringers solution and transported to a civilian hospital where he received another 3 liters of fluids. When his fever had subsided and after a single negative blood smear, he was told that he did not have malaria and was discharged from the emergency room. Pub. in Medical Surveillance Monthly Report (MSMR), v6 n2, p1-16, February 2000. Analysis by Jonathan R. Greifer and Lawrence Joel. |
author2 |
ARMED FORCES HEALTH SURVEILLANCE CENTER SILVER SPRING MD |
format |
Text |
author |
DeFraite, Robert F. Rubertone, Mark V. Brundage, John F. Kohlhase, Kimmie F. Smith, Yvette E. |
author_facet |
DeFraite, Robert F. Rubertone, Mark V. Brundage, John F. Kohlhase, Kimmie F. Smith, Yvette E. |
author_sort |
DeFraite, Robert F. |
title |
Medical Surveillance Monthly Report (MSMR). Volume 6, Number 2, February 2000 |
title_short |
Medical Surveillance Monthly Report (MSMR). Volume 6, Number 2, February 2000 |
title_full |
Medical Surveillance Monthly Report (MSMR). Volume 6, Number 2, February 2000 |
title_fullStr |
Medical Surveillance Monthly Report (MSMR). Volume 6, Number 2, February 2000 |
title_full_unstemmed |
Medical Surveillance Monthly Report (MSMR). Volume 6, Number 2, February 2000 |
title_sort |
medical surveillance monthly report (msmr). volume 6, number 2, february 2000 |
publishDate |
2000 |
url |
http://www.dtic.mil/docs/citations/ADA497075 http://oai.dtic.mil/oai/oai?&verb=getRecord&metadataPrefix=html&identifier=ADA497075 |
long_lat |
ENVELOPE(-134.826,-134.826,67.433,67.433) ENVELOPE(-55.648,-55.648,52.217,52.217) |
geographic |
Fort McPherson The Soldier |
geographic_facet |
Fort McPherson The Soldier |
genre |
Fort McPherson |
genre_facet |
Fort McPherson |
op_source |
DTIC |
op_relation |
http://www.dtic.mil/docs/citations/ADA497075 |
op_rights |
Approved for public release; distribution is unlimited. |
_version_ |
1766003679560728576 |