Challenges in Providing Treatment of Severe Malaria Case in a District Hospital of Remote Area in Indonesia

Autor: Dimas Priantono, Asep Purnama, Erni Juwita Nelwan
Jazyk: indonéština
Rok vydání: 2017
Předmět:
Zdroj: Jurnal Penyakit Dalam Indonesia, Vol 4, Iss 1, Pp 41-44 (2017)
Druh dokumentu: article
ISSN: 2406-8969
2549-0621
DOI: 10.7454/jpdi.v4i1.112
Popis: Severe Malaria is commonly found due to Plasmodium falciparum infection, which is causing high mortality in patient. A Severe case might be difficult to treat optimally in the remote settings area that could be due to lack in awareness of disease manifestation and inadequate diagnostic facilities. We report a case of Severe Malaria Falciparum infection, confirmed by blood smear eamination of Plasmodium falciparum (Pf) parasites. Patient had received Artemicinin Based Combination Therapy (ACT), which consisted of dihydroartemisinin (DHA)-piperaquine and primaquine (PQ) with no clear clinical and microscopy improvement. The second line anti malaria consisted of quinine, doxycycline, and PQ was then initiated, showing clinical and microscopy responses.
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