Malaria fever and its treatment

In this video, you can know about Malaria and all types of plasmodium parasites that cause malaria fever and you can also seek knowledge about,
1. What is Malaria?
2. Cause of Malaria.
3. Types of Malaria.
4. Symptoms of Malaria.
5. Treatment of Malaria.
6. Prevention in Malaria.
7. Diet in Malaria.
8. Complicated and uncomplicate Malaria.

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1. Malaria
Education
and
Treatment
Presented by Dr. Zoraiz Haider

2. What is Malaria?
•It is a kind of,
•Fever with or without chills.
•Fever comes in alternate days,
•Then it is called Suspected Malaria.
•Caused by the plasmodium parasite enter
body by bite of Female Mosquito Anopheles.

4. Symptoms of Malaria?
•1
st
sign & symptom of Malaria:
•Suddenly excessive shiveringoccur
•Chillsusually happen
•High feverabove 103F.
•Excessive sweatingafter 2-3 hours & then
temperature turns to normal and it mostly
happen at nighton alternate days.
•Dry Cough

5. Later Symptoms of Malaria
•Headache
•Muscular Fatigue and pain
•Back pain
•SpleenEnlarge
•Nausea & Vomiting

7. Plasmodium falciparumMalaria
Symptoms
•also called Cerebral or Brain malaria.
•In this condition patient start to show severe
neurological complication and therefore also
have certain epileptic attacks.
•Also has systemic feveroccur.

9. Cause of Malaria?
•Malaria is of different kinds and each type is
caused by the different type of Plasmodium
parasite. i.e
•1. P. Vivax
•2. P. falciparum
•3. P. Malariae
•4. P. Ovale

11. Diagnosis of Malaria
•Malaria can be diagnose by several test i.e,
•1. Peripheral Blood smear test
•2. Rapid malaria kit test
Physical Examination:
•Patient liver & spleen size enlargeduring
examination
•Patient is also anemicif malaria is not treated
for long time.

12. •Suspected malaria confirm by Lab test:
•Rapid malaria kit test is mostly use b/c it give
result in 20mins to diagnose whether it is,
•1. Plasmodium vivax
•2. plasmodium falciparumOR
•3. Mix malaria

13. If line appear in front
of,
C = No Malaria(-)
Pv= P. Vivax(-)
Pf = P. falciparum(-)
Rapid malaria kit test

14. Treatment of Malaria
•Plasmodium treatment depend upon the fact
that patient have which type of plasmodium.
P.vivax& P.falciparumis in India, pakistanand
Bangladesh
•While
•P.Malaria& P.Ovaleis mostly in other
countries.

15. Malaria Types
on basis of Symptoms
•1. Uncomplicated Malaria:
•Moderate symptoms
•2.Complicated (Severe) Malaria:
•Severe symptoms

16. Plasmodium VivaxMalaria treatment
•1
st
day:Chloroquinetab orally 10mg/kg
•2
nd
day: Chloroquinetab orally 10mg/kg
•Then
•3
rd
day: Chloroquinetaborally 5mg/kg
•Addtionto
•Primaquinetab0.25mg/kg daily upto14days

17. •Do not give Chloroquinetab in case of
P.falciparummalaria because they are resistant
to Chloroquine.
•And
•Do Not give primaquinein
•Infants
•Pregnant females and
•G6PD deficiency disorderpatients (anemic
symptom).

20. Other symptomatic treatment
•If you have Fever:
•Paracetamol500mgafter breakfast , lunch and dinner
for about 3-4 days.
•To treat Vomiting and Nausea:
•Domperidone10mg (motilium) + pantoprazol40mg
with empty stomach daily one time in 24hrs for about 7-10
days.
•If Nausea and Vomitingnot treat from above medicine then
take.
•Ondensetron2mg/1ml IV or IM
when vomiting or nausea (Ondeninj)

22. Plasmodium FalciparumTreatment
•Arcevatab oral:
•It contains (Artemether80mg and Lumefantrine480mg)
•1
st
Day:
•1
st
Dose:Take 1 Tab orally in the morning during breakfast
with milk.
•2
nd
Dose: After 1
st
Dose take other 1 tab after 8 hours with
milk.
•2
nd
Day:
•Then next 1-1 tab two times a day up to 2 days.
•Primaquinetab 0.75mg/kg orally as single dose.
•Take this tablet with Milkb/c patient do vomit if take with
water in 80-90% cases.

25. If ArcevaTab is not available
•Then take Fansidarin place of Arcevatab.
•MalarestOR Fansidar:
•Sulphadoxine500mgand Pyrimethamine25mg (3
tabs) 20 : 1)
•If patient is Above 18 years then, Dosefor Malaria:
{Sulphadoxine500mg and Pyrimethamine25mg(3
tabs)} Take 3 tabs in one day at same time.
•Also take,
•Artisunatetab 100mgonce time in a day,
up to 3 days with it.

29. Uncomplicated P.FalciparumTreatment

30. Plasmodium vivaxDuring pregnancy
•Then Chloroquine(Rosechin) is safe in all
trimesters But,
•Primaquineis not safe so patient have to
complete this course after pregnancy and
•Must take Primaquine0.25mg/kgorally up to
14days to complete eradicate the malaria.

31. Plasmodium falciparumDuring
pregnancy
•If patient is in 1
st
trimester then can be given
quinine tablet but
•if patient in 2
nd
or 3
rd
trimester then can be
given
•Artisunateand combination of
•Sulphadoxineand pyrimethaminetab
(Fansidar) orally.

33. Mix Malaria patient
•In case of Mix malaria,
•1
st
treat Plasmodium falsicaprummalaria
and then
•Treat Plasmodium vivaxMalaria with
•Primaquine0.25mg/kg
for 14days

34. Remember this
•In case ofP.VivaxMalaria
•Doseof Primaquineis 0.25mg/kgfor 14days.
•And
•In case ofP.falciparumMalaria
•Doseof Primaquineis 0.75mg/kg orally as
single dose at 2
nd
day of treatment.

35. Diet in Malaria

37. Prevention in Malaria