Prof Lucille Blumberg, GeoSentinel site director Johannesburg, has reported a second confirmed case of East African trypanosomiasis from the Vwaza Marsh Game Reserve, Malawi, this time in an expatriate working as a wildlife researcher. The patient presented with an acute febrile illness and a typical chancre. A scanty parasitaemia was noted. The patient is being treated with suramin in a Johannesburg hospital. The ProMed commentaries about recent cases have suggested that trypanosomiasis is endemic in all southern African game reserves, which is not accurate. The most southern extent of trypanosomiasis is the Zambezi River valley, between Zambia and Zimbabwe. East African trypanosomiasis patients evacuated to Johannesburg in 2018 and 2019 acquired the infection in Malawi, Uganda, and Zambia.
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Prof Lucille Blumberg, GeoSentinel site director Johannesburg, has reported a second confirmed case of East African trypanosomiasis from the Vwaza Marsh Game Reserve, Malawi, this time in an expatriate working as a wildlife researcher. The patient presented with an acute febrile illness and a typical chancre. A scanty parasitaemia was noted. The patient is being treated with suramin in a Johannesburg hospital. The ProMed commentaries about recent cases have suggested that trypanosomiasis is endemic in all southern African game reserves, which is not accurate. The most southern extent of trypanosomiasis is the Zambezi River valley, between Zambia and Zimbabwe. East African trypanosomiasis patients evacuated to Johannesburg in 2018 and 2019 acquired the infection in Malawi, Uganda, and Zambia.