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Posted On : 23 Jul 2023

A 3 year old boy presented with high-grade fever for 2 days with rigors 4 months back. smear showed pl vivax trophozoits. treated with arte plus for 3 days followed by primaqine for 14 days. developed fever again 20 days back again smear showed pl vivax. Again treated the same way. planned to repeat the smear after the course of primaquine. but developed a fever with chills and rigors 3days after the Primaquine course. Smear for malaria awaited. what could be the reason? How to manage further?

Expert Answer :

Answer Discussion :

Z

zeiad Mohammed

0

resistant drugs
use artesunate and artimethar

1 year ago

J

JOLIAS MUUNGA

0

treatment failure

1 year ago

S

Shahid Ghafoor

0

Chloroquine may work in this case

1 year ago

A

Ali Ali

1

need antibiotics such as Doxycycline

1 year ago

?

?????? ???

2

failure of treatment (recrudes cence), or reinfection specialy in endemic area

1 year ago

Answer 1

Going through the history and review of medical treatment suggest that the child is getting reinfected due to mosquito bites. Now if he has P Vivax positive, treat him with Chloroquine in proper dosage and then Primaquin for 14 days. Children should be made to sleep in the impregnated nets to prevent mosquito bites. He can be also given chemoprophylaxis once a wk for 8 to 10 wks.

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