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Question :
Posted On : 04 Jul 2019
Should all fever with chills and rigors be treated on presumptive line and treated with chloroquine or we should wait for confirmation with peripheral smear for plasmodium?
19
Expert Answer :
Ideally one should document malaria before using antimalarials. However in case of high clinical suspicion in an endemic area, one can use chloroquine on clinical basis. All other antimalarials should only be used it the blood has shown malarial parasites.
Answer Discussion :
S
Sweety N Jain
Clinically assess the patient & r/o other causes of fever with rigors like pyogenic focus.. investigate according to endemicity & prevalence & then start rx rather than presumptive rx
4 months ago
S
Sudhakar Mudkhedkar
do not wait.
4 months ago
K
kalyan kolusu
No we should wait for smear
4 months ago
M
Munjeda Ali
We must wait till result
4 months ago
S
shahid iqbal
no..we must rule out other causes of fever with rigors and chills.like tonsillitis.pneumonia uti abcess influenza etc...by history and thorugh exam
4 months ago
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