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Severe malaria — RCPSC EM MCQ

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HardInfectious disease emergenciesSevere malariaRCPSC EM

A 31-year-old returns from Ghana with fever, rigors, jaundice and confusion. Platelets are 42 ×10^9/L, bilirubin 76 µmol/L, glucose 2.8 mmol/L, and thick smear later confirms parasitaemia. What is the most likely diagnosis?

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Correct answer: BSevere falciparum malaria

Travel to a malaria-endemic area with fever, jaundice, thrombocytopenia, hypoglycaemia and confusion is severe falciparum malaria until proven otherwise.

Reference: CATMAT Canadian malaria guidance; emergency infectious diseases standards