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J Travel Med. 2012 Mar-Apr;19(2):133-5. doi: 10.1111/j.1708-8305.2011.00595.x. Epub 2012 Feb 24.

Uncommon manifestation of a mixed-species malaria infection: cryptic falciparum malaria in a traveler with successfully treated tertian malaria.

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Institute of Tropical Medicine and International Health, Charité-Universitätsmedizin Berlin, Berlin, Germany.


We report a case of falciparum malaria in a traveler 9 days after successful treatment of ovale malaria. The underlying, cryptic mixed-species infection was primarily undetectable with standard laboratory diagnostics. This case highlights the limitations of these tests and the unpredictability of typical incubation periods in the individual case.

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