Malaria is a parasitic blood disease, where the parasites are transmitted to human through bites of infected mosquitoes. The symptoms are fever, chills, headache, muscle pain, sweating, and abdominal pain. The first line drugs used to treat malaria are Artemether-Lumefantrine and Artesunate-Amodiaquine (ACTs).

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Can malaria elevate CPK value?

Query: Hi doctor, My father, who is 70 years old, was admitted in a hospital for severe weakness, high fever (105 degrees Fahrenheit), shivering and lack of appetite. Blood tests revealed that he had malaria (Vivax) and a platelet count of 44,000, which is below normal. But, there was no dengue or typhoid....  Read Full »

Dr. Manish N. Garg

Answer: Hi, Welcome to CPK enzyme (creatine phosphokinase) is specific to the heart. It gets elevated only in cardiac disease and not in malaria. However, a more specific test would be troponin enzyme levels.Also, age does not cause CPK enzymes to increase.Low platelet is due to malaria and not...  Read Full »

Will low neutrophil count be the cause for low-grade fever and joint pain?

Query: Hello doctor, I am a 24-year-old female. I have done my blood work and the neutrophil count is very low 0.6 from normal in a matter of weeks and I do not understand why. Other symptoms, I am having are low-grade fever, joint pain (knees, hips, and shoulders), extreme fatigue, and spasms in my leg. ...  Read Full »

Dr. Vandana Andrews

Answer: Hi, Welcome to Your concerns are valid. The symptoms could be due to a condition called neutropenia (low neutrophil counts). It is generally seen in conditions like infections viral, bacterial, or parasitic infections. Examples include HIV (human immunodeficiency virus), tuberculosis...  Read Full »

What could be the reason for the appearance of recurrent RBBB in the ECG reports of my malaria-infected father?

Query: Hi doctor, My father is 71 years old and recently got malaria (vivax), due to which his platelet counts dipped to 44000 mcL. In addition to blood tests, the doctor did an ECG as a routine procedure and found RBBB. The doctors said RBBB was not there in his ECG 10 years ago. During malarial shivers,...  Read Full »

Dr. Vivek Maroti Celerio Mandurke

Answer: Hi, Welcome to Thank you for consulting with us on The right and left bundles are conducting structures of an electrical signal. But with aging and due to other reasons, it does not transmit an electrical signal. So it leads to the right bundle branch block, so the right ...  Read Full »

My father has had a fever, and body pain, along with nausea for six months despite taking medication for typhoid and malaria. What could be the reason?

Query: Hi doctor, My father has had frequent fevers and body pain and sometimes experiences nausea for six months. The doctor gave him medicine for typhoid and malaria, but it did not relieve him. What could be the problem? Please tell me. In reports, it showed that he had typhoid. Thank you.  Read Full »

Dr. Kazi Rufiat Nasiruddin

Answer: Hi, Welcome to Please get a blood culture and drug sensitivity done. Reports are suggestive of typhoid fever. Please give him Tablet Cefixime 400 milligrams twice a day for 14 days. Tablet Rantac 150 milligrams (Ranitidin) twice a day before meals. Tablet Paracetamol thrice...  Read Full »

I am a type 1 diabetic patient tested positive for malaria recently. Kindly suggest treatment.

Query: Hello doctor, I was diagnosed with malaria yesterday. And I was given painkillers, medicines for vomiting and to kill the parasite. However, I still vomit and have severe pain. I visited the doctor today and was told to continue the medicines. However, I am a type 1 diabetic patient and I am afraid ...  Read Full »

Dr. Mahmoud Ahmed Abdelrahman Abouibrahim

Answer: Hello, Welcome to Vomiting and muscle pain are common in malaria. I suggest strong anti-emetic like Zofran (Ondansetron) 8 mg injection in addition to strong pain killers like Ibuprofen 600 mg. Please note that uncontrolled blood sugar levels could contribute to vomiting and epigastri...  Read Full »

My 10-year-old daughter has been suffering from watery stools for the last 27 days and was diagnosed with vivax malaria. Is it a serious condition?

Query: Hello doctor,My daughter is 10 years old. She is suffering from watery stools. This problem has been happening for the last 27 days. For the previous three days, she also felt pain in both the ear and head. We consulted a doctor, and he said it was vivax malaria. He also advised a medicine, Primaqui...  Read Full »

Dr. Rakesh Radheshyam Gupta

Answer: Hello, Welcome to I read your query and understand your concern. I saw the attached reports (attachments removed to protect the patient's identity). There was no specific test report for malaria. I do not understand how the doctor diagnosed it as malaria. There is no need to give mal...  Read Full »

My 7-year-old neighbor died of malaria. What safety measures should I follow?

Query: Hi doctor, Last week my neighbor who is a 7-year-old boy died due to malaria. I am not able to overcome it and I am very depressed. And, I have a few questions, 1. Why are there no vaccines for malaria? 2. What are the common measures for curing diseases like malaria? 3. How can malaria be eradicate...  Read Full »

Dr. Muntaqa Butt

Answer: Hi, Welcome to I went through your query and understood your concern. I have shared a few points on malaria, 1. Usually malaria is not fatal, but it can become fatal if not managed properly. 2. Death rates due to malaria have significantly decreased in the last couple of years. 3....  Read Full »

Are body pain, headache and skin rashes symptoms of dengue?

Query: Hi doctor, My daughter is 10 years old. For the past eight days, she has been suffering from body pain, headache, and some skin irritation. Her doctor said that it is pitta acidity. There is no improvement till date. Last year, during rainy season, she had some face and body irritation problem, whic...  Read Full »

Dr. Payas Joshi

Answer: Hello, Welcome to To understand the condition better I need to know the following things. Where is the pain? Does she have generalized body pain or any joint pain? Please specify. What is the location of a headache, either forehead or back of the head? How does it improve and w...  Read Full »

My wife had C section last month and is now diagnosed with malaria. Can she breastfeed after taking medications?

Query: Hello doctor, My wife had C section last month. For the last five days, she has had a fever ranging between 99 to 102 degrees Farhenite. She was given Dolo 650 thrice a day for the last three days. The fever goes down but returns within six to seven hours. Today an Antigen test for dengue and malar...  Read Full »

Dr. Utkarsh Sharma

Answer: Hello, Welcome to I understand your concern and will help you regarding it. I have seen the attached reports (attachment removed to protect the patient's identity). Mild elevations in SGOT (serum glutamic-oxaloacetic transaminase) and SGPT (serum glutamic pyruvic transaminase) can occ...  Read Full »

What is the reason for fever during the recovery phase of dengue?

Query: Hello doctor, I have a 5 year old son, who is 16.5 kg. He is suffering from dengue since one week, and his platelets count dropped to 62,000. The platelet count increased to 83,000, but the next day, he got a fever of 99.9 F. Why is he getting fever during the recovery phase of dengue? Please advice...  Read Full »

Dr. Babu Lal Meena

Answer: Hi, Welcome to The cause of fever could be low-grade SIRS (systemic inflammatory response syndrome) in the recovery phase of dengue. Usually, fever lasts for 7 to 8 days, and the platelet starts to rise after day five. There are other causes as well, for example, co-infection ...  Read Full »

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