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
Abstract views: 128
PDF downloads: 112

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

White, M.T., et al., Plasmodium vivax and Plasmodium falciparum infection dynamics: re-infections, recrudescences and relapses. Malar J, 2018. 17(1): p. 170.

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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

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Copyright (c) 2023 Vonwicks Czelestakov Onyango

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