[The specific features of malaria clinical course debut in servicemen arrived in tropics from non-malariogenic regions].
The specific features of initial period of vivax and tropical malaria were defined with the help of clinical-and-laboratory methods in two groups of servicemen (70 persons in each group) differed by the period of stay in tropics. For comparison 30 similar patients, the tropics inhabitants, were investigated. In local inhabitants the course of all forms of malaria was rather mild with development of disease characteristic paroxysms in most of them. The reverse correlation of disease severity and period of servicemen' stay in tropics was revealed. For both forms of malaria the migrants compared with local inhabitants had the prodromal period and initial fever without typical paroxysms. The following debuts of malaria were revealed in servicemen: the frequent (influenza-like, arthralgia-like, gastrointestinal, bronchopneumonic, typhoid-like) and the rare (abdominal and painful, cerebral: meningeal and comatose, dysentery-like, tuberculosis-like, hemorrhagic). The shown features of malaria initial period in servicemen caused difficulties in its early diagnosis.