Fever with recurrent chills and rigors

2021-10-05 17:08:26
30yr old male running high grade fever with chills and rigors recurring every 6-7 hrs, rapid diagnostic test for falciparum malaria is positive, started on oral artesunate lumefantrin, and primaquine. Taking Dolo 650 for fever, on CBC- WBC count 4000, hb 13, platelet 1.5lac . Initially BP was 94/50 which improved after IV ringer lactate , since the rigors are recurring every few hrs , do I need to consider injectable artesunate??
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Follow your treating doctor advice

Answered2021-10-06 05:04:19

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If he is not stable then hospitalisation and iv injections is a better choice..

Answered2021-10-05 18:51:38

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Zifi o tds x 3 dys Acenac mr bd x 5 dys Inj monocef 1 gm x 5 dys Tb nervic plus od x 1 month

Answered2021-10-05 18:17:35

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You can give him iv paracetamol if the fever is not reducing. Please admit him as he will require continuous monitoring.

Answered2021-10-05 17:50:38

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He needs to be admitted if he s not already.. continuous monitoring and parasite index is required..
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Kindly consult your nearest physician

Answered2021-10-05 17:18:10

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