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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?

Expert Answer :

Answer Discussion :

S

Sweety N Jain

0

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

5 years ago

S

Sudhakar Mudkhedkar

0

do not wait.

5 years ago

K

kalyan kolusu

0

No we should wait for smear

5 years ago

M

Munjeda Ali

0

We must wait till result

5 years ago

S

shahid iqbal

1

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

5 years ago

Answer 1

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.

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