Malaria

Question 1

General Symptoms of malaria?

Answer 1

Malaise, splenomegaly, fever, headache, jaundice

Question 2

Blood findings malaria

Answer 2

Normocytic normochormic anaemia
High LDH due to haemolysis

Question 3

What are the types of non falciparum malaria?

Answer 3

Ovale
Vivax (most common)
Knowlesi
Malariae

Question 4

What symptoms are typically seen with ovale and vivax?

Answer 4

Swinging fevers over 48 hours, can cause relapsing disease

Question 5

Which malaria causes swinging fever every 72 hours?

Answer 5

Malariae

Question 6

What is the testing required for Malaria?

Answer 6

Thick and thin blood films
>5% parasitosis is poor prognosis

or

antigen detection test

Question 7

What are the testing requirements for blood films?

Answer 7

If first test is negative need to repeat every 24 hours to make sure if negative

Question 8

What treatment is recommended?

Answer 8

If is chloroquine-sensitive then WHO recommend either an artemisinin-based combination therapy (ACT) or chloroquine

ACT can not be used in pregnancy

Question 9

what is treatment recommendation for Ovale and vivax?

Answer 9

should be given primaquine following acute treatment with chloroquine to destroy liver hypnozoites and prevent relapse