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Imported Malaria

Pediatric EM Morsels

ovale to cover the hypnozoite that can stay dormant in the liver and cause a secondary infection in the future Severe Malaria IV artesunate is currently the accepted first line treatment Previously IV quinine was first line, however it was associated with higher incidence of hypoglycemia, cardiac dysrhythmias, seizures, and comas.

Seizures 278
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Malaria

Mind The Bleep

Investigations EDTA blood (ie an FBC bottle) should be sent urgently for thick and thin films Most laboratories will also perform a rapid diagnostic test (lateral flow), which has quite good sensitivity for P falciparum and reasonable sensitivity for P vivax If the rapid test is negative, consider alternative differentials (e.g.

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Cholera: ED presentation, evaluation, and management

EMDocs

Laboratory testing was not immediately available. The clinical picture of this patient was consistent with hypovolemic shock secondary to acute cholera infection. 16 In resource-constrained settings, rapid diagnostic tests (RDTs) on stool samples offer a viable option. cholerae in stool samples before culture.