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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for malaria

Hi My daughter is 17 years old, is in Tanzania doing voluntary in a hospital and she text me yesterday to say she felt a bit unwell, lightheaded, feeling sick and aching and today she text to say she has malaria and a UTI, she had a blood test at a private clinic and has been given tablets. She was taking generic malerone tablets, she said she missed 1 tablet in the 11 days she has been away. How worried should I be, I text tonight and she has gone into the hospital to do an evening shift, so she must be feeling ok to do that, she did say if she was at home she wouldn t have gone to the doctor feeling as she did. I m worried in case it gets worse as I ve been googling!
Thu, 4 Dec 2014
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General & Family Physician 's  Response
Hello
Thank You for contacting HCM.
Welcome to Health Care Magic.
My name is Dr Muhammad Ahmad & i will look into your problem.

I have gone through your query and would try to help you in the best possible way.


MAKE SURE ONE THING:
i am not sure what Malerone is given 1 tablet a day for 11 days this is prophylactic dose which you are talking about but if she does have malaria
she should be give a dose like this
1 g/400 mg (4 tablets) through mouth daily for 3 days

and Malerone has nothing to do with UTI so kindly ask her to tell you the truth how is she feeling and if she is alright then it's ok probably it wasn't malaria.

Suggestions:

If i were her doctor and i confirmed malaria and UTI
i would give her
(1) Malaraon 1g/400 mg (4 tablets) PO daily for 3 days
(2)Ciprofloxacine 250mg twice a day for 5 days

and then would have run her re tests after 15 days...
Things just don't fit according to my opinion..And symptoms of malaria is very high fever with shivering,may be sore throat and night sweats, then this fever is alternating for example a high fever in night 1 then high fever during night 4 then night 7 that how it goes....

MOREOVER: unwell, lightheaded, feeling sick and aching are usually signs of viral illness which usually go away by themselves ask her to drink loads of water and have a simple pain killer when pains.

In my opinion you daughter was misdiagnosed she has a simple infection of something you don't have to worry but have to talk to her.
Hope this answers your question. If you have additional questions or follow
up questions then please do not hesitate in writing to us.
Wishing her good health
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