Malaria

Last updated: Friday, 06, August, 2010
Key InformationAppropriate Tests

Malaria (Plasmodium spp infection) should be considered in patients presenting with unexplained fever and/or splenomegaly, particularly if there is a history of residence or travel in endemic areas. The use of prophylaxis does not exclude the possibility of infection.

FBC; parasites - blood (thick and thin blood films for parasite identification); malaria antigen. To exclude malaria, blood films must be examined on three separate occasions. If indicated: creatinine, urea; urine microscopy. If falciparum malaria is suspected, red cell parasite count ; haemoglobin - urine. If falciparum malaria is confirmed, monitor red cell parasite counts until protozoa have cleared with therapy.