@article{oai:u-ryukyu.repo.nii.ac.jp:02012529, author = {Shibahara, Daisuke and Kinjo, Takeshi and Nishiyama, Naoya and Kami, Wakaki and Nabeya, Daijiro and Haranaga, Shusaku and Higa, Futoshi and Tateyama, Masao and Shinzato, Takashi and Toma, Hiromu and Kishimoto, Hidehiro and Fujita, Jiro}, issue = {19}, journal = {Internal Medicine}, month = {}, note = {A 65-year-old man, who recently returned from Liberia, visited a clinic complaining of fever, and azithromycin was prescribed. The patient presented to a general hospital 5 days after the onset of symptoms, however, a blood smear examination failed to detect malaria. Contrary to the blood smear result, a rapid antigen test in our hospital was strongly-positive for falciparum malaria, indicating a high level of malarial antigen in the blood. Moreover, laboratory examinations on admission showed a tendency for improvement. We assumed that the administration of azithromycin partially treated malaria, thus complicating the blood smear diagnosis. We should be careful in prescribing azithromycin, which is widely used in clinics, to travelers returning from malaria-endemic countries., 論文}, pages = {2513--2516}, title = {Falciparum Malaria Incidentally Pretreated with Azithromycin}, volume = {54}, year = {2015} }