A 35-year-old man from Cameroon is diagnosed with P. falciparum malaria with a parasitaemia of 1.2%. He also has Loa loa co-infection with a microfila...

Question

A 35-year-old man from Cameroon is diagnosed with P. falciparum malaria with a parasitaemia of 1.2%. He also has Loa loa co-infection with a microfilaraemia of 42,000 mf/mL. He needs urgent malaria treatment. Is artemether/lumefantrine safe in this setting?

Accepted Answer

Yes; ACTs including artemether/lumefantrine are safe and recommended for malaria treatment regardless of Loa loa co-infection; the concern with Loa loa applies to ivermectin and DEC, not ACTs

Answer

No; all antimalarials are contraindicated in Loa loa co-infection

Answer

He should receive chloroquine instead

Answer

He must be treated for Loa loa before malaria treatment can begin

Answer

Only IV quinine is safe

uk-dtmh MCQ (SBA): ACT Safety in Loa loa Co-infection

A 35-year-old man from Cameroon is diagnosed with P. falciparum malaria with a parasitaemia of 1.2%. He also has Loa loa co-infection with a microfilaraemia of 42,000 mf/mL. He needs urgent malaria treatment. Is artemether/lumefantrine safe in this setting?