Case Report of a Patient with Recrudescent Malaria in Rural Kenya

Authors

  • Vonwicks Czelestakov Onyango MBChB, MMed, FCP (SA); Consultant Physician, Department of Medicine, St. Joseph Rift Valley Hospital, Gilgil, Kenya

DOI:

https://doi.org/10.47672/ejhs.1526

Keywords:

Smear-Positive Malaria, Recrudescence, Artemisinin, Primaquine

Abstract

A patient in rural Kenya presented with recurrent smear-positive non-severe malaria, despite multiple re-treatments with both oral and parenteral artemisinin-base combination therapies. Recrudescence of P. falciparum malaria was deemed the most likely explanation, and radical treatment with Primaquine was finally done, with subsequent remission of malaria symptoms and negative follow-up laboratory tests.

 

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Author Biography

Vonwicks Czelestakov Onyango, MBChB, MMed, FCP (SA); Consultant Physician, Department of Medicine, St. Joseph Rift Valley Hospital, Gilgil, Kenya

 

 

References

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Epidemiology of malaria in Kenya. Afr J Med Pract, 1994. 1(1): p. 5-6.

Vinetz, J.M., et al., Plasmodium malariae infection in an asymptomatic 74-year-old Greek woman with splenomegaly. N Engl J Med, 1998. 338(6): p. 367-71.

Ashley, E.A., J. Recht, and N.J. White, Primaquine: the risks and the benefits. Malar J, 2014. 13: p. 418.

Mavoko, H.M., et al., Efficacy and safety of re-treatment with the same artemisinin-based combination treatment (ACT) compared with an alternative ACT and quinine plus clindamycin after failure of first-line recommended ACT (QUINACT): a bicentre, open-label, phase 3, randomised controlled trial. Lancet Glob Health, 2017. 5(1): p. e60-e68.

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Published

2023-07-07

How to Cite

Onyango, V. . (2023). Case Report of a Patient with Recrudescent Malaria in Rural Kenya. European Journal of Health Sciences, 9(2), 18–23. https://doi.org/10.47672/ejhs.1526

Issue

Vol. 9 No. 2 (2023)

Section

Articles

License

Copyright (c) 2023 Vonwicks Czelestakov Onyango

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This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution (CC-BY) 4.0 License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.