А CLINICAL OBSERVATION OF AN IMPORTED CASE OF MALARIA IN THE REPUBLIC OF SAKHA (YAKUTIA)

From ancient times to the present, malaria has caused enormous damage to mankind, deteriorating the health of the population and causing high mortality. Currently, there is a gradual return to Europe of malaria and epidemics associated with environmental causes (the development of resistance to insecticides in vectors and to antimalarial drugs in pathogens) and socio-economic conditions (economic crises and mass migration of the population). Malaria is registered in 101 countries of the world: in 92 – tropical malaria, in 9 – only 3-day one. With the annual number of cases of malaria in the world at 300 – 500 million, the number of deaths is 1.5 – 2.7 million, mainly in Equatorial Africa and Southeast Asia. Imported malaria for our country has two aspects. Firstly, clinical: there is death from tropical malaria due to a late visit to the doctor, and in some cases due to late diagnosis and late etiotropic therapy. Secondly, the epidemiological aspect is the possibility of resuming the transmission of malaria in local conditions and the formation of local foci (three-day and oval malaria). In the Russian Federation, there are mainly imported cases of malaria from endemic regions of the world; in Yakutia, sporadically imported cases of malaria are recorded. The clinical course of malaria depends on the type of pathogen and the immune status of the infected person. The epidemiological history plays a significant role in the diagnosis. This article presents a clinical case of an imported case of mixed malaria in the Republic of Sakha (Yakutia).

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