Air routes
The increase in air routes from Africa potentially increase the risk of introducing airport malaria. Aircraft
Mosquitoes have been found to be attracted to the illuminated cabins rather than to the baggage compartments. Diagnosis
Mild cases may be missed. Due to the absence of a travel history in a person with fever, malaria is not usually expected, resulting in delays in diagnosis. Before the diagnosis of airport malaria can be made, other methods of transmission need to be excluded including blood transfusion, shared needles, prior exposure in endemic regions, and transmission by local mosquitoes. History taking requires information on where the person lives and works, in addition to the distance from the airport. Epidemiology
Airport malaria is rare with most cases being reported sporadically and in the summer. It is not as well recognised as malaria in a person with a travel history to a place with endemic malaria. Europe
Between 1969 and 1999, Europe saw up to 89 people diagnosed with airport malaria. The frequent flights from Sub-saharan Africa resulted in Belgium, France and the Netherlands being at highest risk.In the UK, at least 14 people with airport malaria were reported between 1969 and 1999. In 1983, 12 out of 67 aircraft flying from tropical countries to Gatwick Airport, London, contained mosquitoes. In the same year, falciparum malaria was reported in two people living 10 km (6.2 mi) and 15 km (9.3 mi) from Gatwick Airport. It was deduced that an infected mosquito accompanied aircrew to a pub near Gatwick and infected its landlord.
Drug-induced purpura is a skin condition that may be related to platelet destruction, vessel fragility, interference with platelet function, or vasculitis. : 824

See also
Food-induced purpura
Rumpel-Leede sign
Skin lesion


== References ==