Case 5
A boy, 2 years old taken to the hospital for having
fever for 2 weeks. There was no cough, runny nose
or diarrhea. The boy vomited several times but still
able to drink plenty of water.
Question 2
• What antimalarial drug should be given in this
patient?
Question 3
• Any comments on the low platelets count?
What it means to have gametocytes in the
peripheral blood? What is the management?
Case 6
• A baby boy aged 6 months old admitted to the
hospital with rapid breathing since 2 days before
admission. He also had fever for 5 days. The boy
was unable to beastfed and looked pale.
Question 2
• How is the blood glucose level? How is the
level of parasitaemia? What is your
assessment?
Question 3
• What is the management of this patient? Does
this patient need fluid restriction?
Case 8
6th September 2014.
• Male, 15 years old was referred from local
hospital after 10 days of hospitalization and 3
days of ICU care due to severe falciparum
malaria with acute kidney injury. Body weight:
43 kg.
History of hospitalization in referring hospital:
25th August 2014
Question 2
What is the likely cause of malaria positive on
2nd October 2014? What is your comment?
Case 9
• A girl, 1 year old came to the hospital with convulsion
about 10 minutes before admission. She had fever one day
before admission. She was unconscious when admitted.
Vital signs: Somnolent, HR 140 x/min, RR 30 x/min, body
temp 39.80C, BW 8.5 kg, SpO2 98% in room air. Physical
examinations were within normal limit.
Question 2
• What is your comment on the parasitaemia in
this patient? What is the clinical significance
Pf schizont and Pf gamet in the peripheral
blood?
Question 2
• What is the best way to count parasitaemia in
this case?
Question 3
• What is your comment on the treatment and
the reduction rate of parasitaemia?