A 55-year-old man is admitted to intensive care with severe P. falciparum malaria acquired in Mozambique. He is receiving intravenous artesunate. On d...

Question

A 55-year-old man is admitted to intensive care with severe P. falciparum malaria acquired in Mozambique. He is receiving intravenous artesunate. On day 3, his parasitaemia has fallen from 12% to 0.5% and he is clinically improving. He is now able to take oral medication. What is the most appropriate next step in his management?

Accepted Answer

Switch to a full course of oral artemether/lumefantrine

Answer

Continue intravenous artesunate until parasitaemia is zero

Answer

Switch to oral chloroquine

Answer

Stop all antimalarial treatment and observe

Answer

Switch to oral quinine monotherapy for 5 days

uk-dtmh MCQ (SBA): Plasmodium falciparum Severe Malaria