Malaria

Question 1

Malaria transmitted by […]

Answer 1

Female anopheles mosquito 🦟

Question 2

Malaria features:

Answer 2

Hx travel endemic tropical area (africa, india, thai..)
⭐️Fever
Fatigue / flu-like
Inc bleeding risk (DIC)
⭐️Hepatosplenomegaly & Juandice
GI: abd pain, diarrhea, N/V
Cerebral malaria: confusion

Question 3

Malaria subtypes

Answer 3

🔹Tertian malaria (P. vivax / P. ovale)
• Fever q48 hrs

🔹Quartan malaria (P. malaria)
• Fever q72 hrs

🔹Falciparum malaria
• Fever spike irregular
• Most severe form

Question 4

Malaria diagnosis:

Answer 4

Thick blood smear “initial”
Thin blood smear “confirm, P. Subtype”
✨Negative with high suspicion »Repeat smear q8hrs for 48 hrs

Question 5

Malaria treatment:

Answer 5

(Sensitive): Chloroquine
(Resistant): Mefloquine
Atovaquone-proguanil
Life threatening 🧠: IV quinidine or artesunate
P. vivax / P. ovale : +Primaquine

Question 6

Malaria prophylaxis

Answer 6

Atovaquone-proguanil