Eighty patients with recurrent attacks of malaria within a span of 1 month after the previous attack were studied to find out the possible causes of recurrence and to design a suitable management strategy. The average number of attacks per patient was 3.3 ± 2.4 and mean interval between the attacks was 3 ± 1 week. Five (6.25%) recurred within 7 days and 75 (93.75%) recurred between day 10 and day 28. Sixty-two (77.5%) cases had mixed parasitic infection (P. vivax and P. falciparum), 4 (5%) had P. falciparum infection and 14 (17.5%) had P. vivax infection. Forty (50%) cases responded to Chloroquine and Sulphadoxine + Pyrimethamine, 18 (22.5%) received Quinine and Doxycycline in addition to the above regimen and 13 (16.25%) had to be treated with Quinine straightaway because of complications and 2 (2.5%) were treated with Mefloquine. The cause of the recurrence was most probably due to RI type of resistance and most of them (77.5%) had mixed infection.
|Number of pages||4|
|Journal||Journal of Association of Physicians of India|
|Publication status||Published - 01-09-1997|
All Science Journal Classification (ASJC) codes