Key Information

Appropriate 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.

Full blood count; Parasites blood (thick and thin blood films for parasite identification); Malaria Ag. To exclude malaria, blood films must be examined on three separate occasions to account for periodicity of release of the parasites.

If indicated: Creatinine, Urea; MCS urine.

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.

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