How is Malaria Treated

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QUESTION

How is malaria treated today?

ANSWER

Several different medications exist which are used for the treatment of malaria. The exact drug and method of treatment depends somewhat on the type of malaria the patient is infected with.

In most cases of non-complicated (i.e. when the patient is stable and conscious) malaria, the World Health Organisation recommends an orally-administered (in the form of solid pills) artemisinin-based combination therapy (ACT), such as Coartem (a combination of artemether and lumefantrine). Other types of medication include atovaquone-proguanil (Malarone) and sulfadoxine-pyrimethamine (Fansidar). In some locations, where chloroquine-resistance is not a problem, chloroquine can also be used as a treatment. For complicated malaria, where the patient is in a more severe state, intravenously administered quinine is usually the first-line treatment.

If diagnosed early and the patient is given appropriate medication, virtually all cases of uncomplicated malaria can be effectively treated.

Chloroquine side-effects

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QUESTION

For about two years in the early ’90s I indulged in self-prescription of chloroquine because then, I lived in a mosquito infested environment which made me suffer constant malarial attacks. Could this be why I now suffer from severe pains around my pelvis and down my thighs to one of my knées? I make this guess as a layman because recently, following a malarial attack, I took a non-chloroquine anti-malarial and discovered that the drug also provided me with temporary relief from those pains.

ANSWER

I have not found any information that suggests pelvic/leg pain could be one such effect. In fact, the only conclusive data is on irreversible retinal damage, which is a known consequence of long-term or high dosage chloroquine use. If you have experienced difficulty reading or other visual problems, it may be worth getting screened.

Since your symptoms improved with taking another anti-malarial, it may be that you have some other infection or illness which responds to the anti-malarial drugs (which are known to be effective against other diseases – for example, artemisinin can be used to treat schistosomiasis, a parasitic worm infection). This is something you should discuss with your doctor, as chronic pelvic pain can have a variety of causes and is often misdiagnosed.

Malaria from Dominican Republic?

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QUESTION

Hi i just came back from the Dominican Republic. I started to have a mild fever, chills, muscle pains, a headache, and a cough. Today the fever and chills are gone but my cough and headache have gotten worse. It hurts my head a lot when I cough, I feel a lot of pressure in my head. Can you please tell me why my head hurts so much.  Is this a symptom of malaria? hope to hear from you guys soon thanks!

ANSWER

Headaches can be caused by many things – they are usually classified as primary (tension headaches, migraines or cluster headaches), secondary (as a side effect to some other illness or syndrome, which can very commonly be an infection or response to an allergen) and neuralgia and “other” headaches (neuralgia is inflamed nerves). Malaria, as a serious infection, can cause secondary headaches, while other symptoms include fever (usually in cycles of 2 or 3 days), chills, nausea and aches. However, these symptoms are also consistent with a wide range of other illnesses, including influenza and other common diseases. Malaria symptoms will only appear at least one week after being bitten – if you have started feeling symptoms sooner than this, then you probably don’t have malaria.

Malaria is present in the Dominican Republic, with highest transmission risk in the western part of the country, near the Haitian border. The cities of Santiago and Santo Domingo are considered very low risk for malaria. It is actually recommended that all travellers to the DR take anti-malarial medication (called prophylaxis), to protect against malaria infection. If you were taking prophylaxis, then the risk of getting malaria is very low. However, if you were visiting areas outside of these cities, were not taking anti-malaria medication and it has been at least a week since you were bitten by mosquitoes while there, it may be worth going to your doctor or a hospital to have a malaria test. If you are diagnosed with the disease, then your doctor can quickly prescribe you effective treatment, which should clear up the infection in a matter of days. The type of malaria in the Dominican Republic (Plasmodium falciparum) can be dangerous if left untreated, though in this area, it responds readily to several different drugs, including chloroquine, so treatment will be uncomplicated.

If you have taken medications for malaria, please help Malaria.com by taking our Malaria Medication Side-effects Survey: Treatment and Prophylaxis. Thank you!

Late Malaria Confirmation

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QUESTION

I was given a field diagnosis of malaria 1 1/2years ago and was treated. Can I still get a blood test to confirm if I truly had malaria?

ANSWER

That’s a very interesting question, and the answer is: it depends. Since you were treated, you will no longer have the parasites in your blood stream, and so you cannot use a traditional blood film, looked at under a microscrope, which is the standard diagnostic method in many places.

However, there are other blood tests which look for the presence of antibodies against specific malaria proteins. These antibodies can remain in the blood for a long time after the malaria infection – probably months, but perhaps even years, though the exact length of time may vary from person to person, as well as between antibodies. If you wanted, you could inquire in your hospital whether it would be possible to get a serology test for malaria (serology tests look for antibodies) – if they tell you the brand they use then you could also contact the manufacturer to ask if they have done tests on the length of time the antibodies stay in the blood.

Cure for Malaria

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QUESTION

Is there a cure for Malaria?

ANSWER

Yes. Several different medications exist which are used for the treatment of malaria. The exact drug and method of treatment depends somewhat on the type of malaria the patient is infected with. In most cases of non-complicated (i.e. when the patient is stable and conscious) malaria, the World Health Organisation recommends an orally-administered (in the form of solid pills) artemisinin-based combination therapy (ACT), such as Coartem (a combination of artemether and lumefantrine). Other types of medication include atovaquone-proguanil (Malarone) and sulfadoxine-pyrimethamine (Fansidar). In some locations, where chloroquine-resistance is not a problem, chloroquine can also be used as a treatment. For complicated malaria, where the patient is in a more severe state, intravenously administered quinine is usually the first-line treatment.

If diagnosed early and the patient is given appropriate medication, virtually all cases of uncomplicated malaria can be effectively treated.

When was malaria discovered?

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QUESTION
When did people first discover about malaria?

ANSWER
Humans have known about malaria as a disease for thousands of years. The earliest written record of malaria is from ancient China, 2700 BCE. The ancient Romans and Greeks also described the symptoms of malaria, though none of these ancient people knew the true cause or had identified specifically how it was transmitted. This was first achieved in the 19th century, first in 1880 by Charles Louis Alphonse Laveran, who observed the parasites that cause malaria in the blood of a patient. A few years later, in 1897/1898, Ronald Ross discovered that the parasites were transmitted between hosts via mosquitoes, thus laying the foundations for future decades of malaria control efforts.

Coma and Malaria

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QUESTION

My sister is in a coma and doctors said its malaria. She is on life support system. Will she come out of it? The liver and kidneys have been affected.

ANSWER

Without more information, I am afraid it is impossible to know what the prognosis will be. Is she receiving treatment for the malaria? For cases of this severity, intravenous quinine is often the first-line treatment for malaria.

Malaria Relapse

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QUESTION

I had malaria in Papua New Guinea 40 years ago and had many relapses. I had one 11 years ago and was in hospital for 3 weeks. I have been to a massage therapist who used a hand machine giving out pulses rather strong a bit like tiny electric shots could this activate malaria?

ANSWER

The reasons why malaria relapses are not well known. Malaria acquired in different places tends to have different relapse times (faster in the tropics, less frequent in sub-tropical or temperate regions) and there is also some evidence that being bitten again by mosquitoes can trigger relapse. I am not aware of any evidence that electric pulses could trigger relapse, but likewise cannot discount the possibility! On another note, there is medicine that can be taken to prevent further relapse, by killing the dormant liver forms of the malaria parasite. It is called primaquine, and is only effective is taken exactly as prescribed for a 2 week period. Some people with G6DP deficiency may also not be recommended this medicine, so before prescribing it, your doctor should test you for this deficiency.

Malaria Transmission

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QUESTION

Can one get malaria through contact with the infected person or is it airborne?

ANSWER

Malaria cannot be transmitted through direct contact with an infected person, nor is it airborne! It is actually transmitted directly via the bite of an infected mosquito. Only certain female mosquitoes, of the genus Anopheles, can carry malaria. The mosquito picks up the malaria parasite (there are five different types of malaria that infect humans, though all are transmitted in exactly the same way) when it feeds on the blood of an infected person. The parasite then undergoes a cycle of reproduction in the mosquito, before new parasites migrate once again to the mosquitoes salivary glands. From here, they are able to escape into the blood of a new human host when the mosquito takes another blood meal by biting the person.

Since malaria is transmitted by blood, there have been a some reports of malaria transmission via organ donor or blood transfusion, though most countries now screen for malaria before using donated blood or organs. Additionally, if a pregnant woman gets malaria, the parasite can be passed to her baby either across the placenta or during delivery; this is called “congenital malaria”, and can be quite harmful to the baby. As such, and also because pregnant women themselves are especially vulnerable to malaria, many campaigns have dedicated themselves to providing pregnant women with long-lasting insecticide treated bednets and other measures to prevent and treat malaria.

Malaria Infection

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QUESTION

How can you get infected with malaria?

ANSWER

Malaria is transmitted directly via the bite of an infected mosquito. Only certain female mosquitoes, of the genus Anopheles, can carry malaria. The mosquito picks up the malaria parasite (there are five different types of malaria that infect humans, though all are transmitted in exactly the same way) when it feeds on the blood of an infected person. The parasite then undergoes a cycle of reproduction in the mosquito, before new parasites migrate once again to the mosquitoes salivary glands. From here, they are able to escape into the blood of a new human host when the mosquito takes another blood meal by biting the person.

Since malaria is transmitted by blood, there have been a some reports of malaria transmission via organ donor or blood transfusion, though most countries now screen for malaria before using donated blood or organs. Additionally, if a pregnant woman gets malaria, the parasite can be passed to her baby either across the placenta or during delivery; this is called “congenital malaria”, and can be quite harmful to the baby. As such, and also because pregnant women themselves are especially vulnerable to malaria, many campaigns have dedicated themselves to providing pregnant women with long-lasting insecticide treated bednets and other measures to prevent and treat malaria.