Professional Documents
Culture Documents
Malaria
Malaria
Introduction
Classification
Epidemiology
Pathogenesis
Symptoms and signs
Diagnosis
Treatment and prevention
Complication
Introduction
Others:
CBC: low Hb, low platelets
Blood cultures
Hypoglycemia – to rule out cerebral malaria
Urea and creatinine.
Treatment (based on WHO
recommendations 2006)
Rx of uncomplicated P.falciparum
Rx of sever malaria
Rx of P.vivax, P.ovale, P.malariae
Prevention
Definitions
Chloroquine
For radical cure of P.vivax and P.ovale:
Primaquine 15 mg daily for 14 days.
It destroys the hypnozoite phase in the liver.
It may cause hemolysis with G6PD deficient
patients.
Prevention
Shock :
Hypotension in malaria could be due to many reasons:
Dehydration due to high-grade fever, excessive sweating and inadequate fluid
intake.
Dehydration due to vomiting and/or diarrhoea.
Pulmonary oedema.
Metabolic acidosis.
Associated Gram negative septicemia.
Massive gastrointestinal haemorrhage
Renal Failure :
Renal dysfunction in falciparum malaria can be due to many
factors:
Renal failure in malaria is caused by renal cortical vasoconstriction and
resultant hypoperfusion, sequestration and resultant acute tubular necrosis
due to microvascular obstruction and due to massive intravascular
hemolysis in blackwater fever .
emedicine.com/med/TOPIC1385.HTM
Guidelines for the treatment of malaria
2006 (WHO)
Principles and practice of medicine,
Davidson’s (19th edition)
Oxford handbook of clinical medicine (7th
edition)
www.malariasite.com