n CME : Your SA Journal of CPD - Severe malaria : a case of too little too late : more about ... malaria

Volume 26, Issue 6
  • ISSN : 0256-2170



NM, a 34-year-old woman, is brought to your hospital's emergency room in a semi-conscious state, with a high fever, sweating and rigors. Her husband provides the following history : NM lives in a rural village in KwaZulu-Natal on the Mozambican border. She visited a private general practitioner 4 days before with a 4-day history of headache, fever, joint pains, nausea and vomiting. She was given 3 sulfadoxine / pyrimethamine (Fansidar) tablets and sent home with paracetamol. She vomited soon after leaving the doctor and continued to deteriorate over the next 3 days until she became confused and very sleepy. Her husband took her to the traditional healer who gave her a special tea that he claimed would help her, but she did not improve.

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