Malaria — SCE Infectious Diseases MCQ

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HardTropical & Imported InfectionsMalariaSCE Infectious Diseases

A traveller has severe falciparum malaria with 25% parasitaemia, acidosis, jaundice and acute kidney injury. IV artesunate has been started. Which additional management is appropriate?

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Correct answer: B — IV artesunate plus intensive organ support

Severe falciparum malaria requires immediate IV artesunate and expert intensive supportive care, including management of hypoglycaemia, acidosis, renal failure, shock and respiratory compromise. Parasitaemia is followed and oral combination therapy completes treatment once tolerated. Exchange transfusion has no established added benefit after effective artesunate and is not routinely recommended.

Reference: https://www.nice.org.uk/guidance/conditions-and-diseases/infections