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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Malaria Infection

Hello my fiance was diagnosed with malaria over a week ago.. since then she has been in and out of the hospital, suffering from bouts of fever, body pain and unconsciousness, often lethargic... recently she has been told that she is having brain fever... could someone advice on the best treatment for her. PLEASE
Mon, 26 Oct 2015
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Infectious Diseases Specialist 's  Response
Please hospitalize her immediately. The recommended treatment after admission can be as follows:

1. IV Quinine 10mg/kg as an infusion over 4-8 hours thrice daily for 7 days. If she is resistant to quinine, please go for artesunate 2mg/kg IM on day 1 and 80 mg (2mg/kg) IM on days 2 to 5. This should clear her parasitemia faster than other anti malarial drugs.

2. Supportive treatment to avoid the following will be required:
> Hypoglycemia
> Hemoglobinuria
> Jaundice
> Hypotesion

Although cerebral edema is rare in adults, please watch out for any increase in intracranial pressure.
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Suggest Treatment For Malaria Infection

Please hospitalize her immediately. The recommended treatment after admission can be as follows: 1. IV Quinine 10mg/kg as an infusion over 4-8 hours thrice daily for 7 days. If she is resistant to quinine, please go for artesunate 2mg/kg IM on day 1 and 80 mg (2mg/kg) IM on days 2 to 5. This should clear her parasitemia faster than other anti malarial drugs. 2. Supportive treatment to avoid the following will be required: Hypoglycemia Hemoglobinuria Jaundice Hypotesion Although cerebral edema is rare in adults, please watch out for any increase in intracranial pressure.