Malaria

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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Are there abnormalities in my blood reports?

Query: Hello doctor,I got a blood test done this week. The investigations are as follows: Red cell distribution width is 11.4 %, platelets count is 130 thou/UI, mean platelet volume is 13.3 fL. Morphology remarks: Gaint platelets are seen, and small clumps of platelets are seen.  Read Full »


Dr. Parth R Goswami

Answer: Hello, Welcome to icliniq.com. Let me tell you that there are abnormalities like high MPV (mean platelet volume) and the presence of giant platelets. This type of picture occurs when there is platelet destruction. So, the bone marrow is stimulated more and hence a lot of premature platelets get ...  Read Full »

What is the reason for chronic muscle pain and neck stiffness in me?

Query: Hi doctor, I belong to a western country but lived in a non-western country for about 16 years. I had malaria a couple of times while living there. My illness started with fever or flu-like symptoms, severe muscle aches and pains through the neck and shoulders, head pain, chills, and fatigue. I hav...  Read Full »


Dr. Arpit Varshney

Answer: Hello, Welcome to icliniq.com. When I read about the symptoms you had, I could only think of malaria. I would strongly suggest getting tested for malaria. Malaria has two tests peripheral blood smear and rapid diagnostic test. It would help if you underwent both of them. There is another possibili...  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 icliniq.com. 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-infect...  Read Full »

Does my father have a high-grade fever with shivering and headache due to malaria?

Query: Hi doctor,My father is 61 years old suffering from shivering and a high-grade fever of 102.5 degrees Fahrenheit. He is diabetic and having high blood pressure. Can I give him Lumerax 80 for the suspected malaria?  Read Full »


Dr. Suneetha B S

Answer: Hi, Welcome to icliniq.com. Please mention whether he has any intermittent sweating. If yes, then mention the hours of having sweating episodes. Fever with chills and sweating can occur in both malaria and typhoid. Fever with chills can also occur due to urinary tract infections. Please mentio...  Read Full »

How to get cured from malarial fever?

Query: Hi doctor, My mother is suffering from malaria for a week. Before five days, she got a positive result for malaria after having weakness, increased temperature, coughing, and loss of appetite. After taking tablet Metakelfin, her weakness and tiredness got increased. She was not able to eat and drin...  Read Full »


Dr. S D Sinha

Answer: Hi, Welcome to icliniq.com. Plasmodium falciparum accounts for ninety-six percent of malaria. But plasmodium malariae and plasmodium ovale account for the remaining four percent. For Plasmodium falciparum, Metakelfin (Pyrimethamine with Sulfadoxine) of two tablets should be taken as a single dose....  Read Full »

My son has fever and vomited his malaria medicine. What to do?

Query: Hi doctor, My son (2 years 8 months) was hospitalized due to fever along with a sand paper kind of rashes in the body for four days. He was suspected of dengue and the initial blood test showed IgG positive. Herewith I am attaching the discharge summary and all other reports. After getting discharge...  Read Full »


Dr. Faisal Abdul Karim Malim

Answer: Hello, Welcome to icliniq.com. Children vomit after giving malaria medication (Chloroquine). If the child has vomited the medicine immediately after consumption that dose is missed. Hence, it should be repeated. I suggest syrup Emeset (Ondansetron) half an hour before giving the medication....  Read Full »

Why do I feel cold all the time?

Query: Hello doctor, I am feeling extremely cold all the time, except for when I am sleeping. It feels like the thermometer in my body is broken, and it cannot regulate my body temperature. I cannot think of any triggering factors. I have been to my primary doctor, endocrinologist, and rheumatologist and...  Read Full »


Dr. Muhammad Zubayer Alam

Answer: Hello, Welcome to icliniq.com. I can understand your concern. According to your statement, you have been suffering from extreme cold feel all the time except during sleeping. Feeling cold may have resulted from fever, long time exposure to a cold environment. Without fever and cold climate, it...  Read Full »

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 icliniq.com. 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 n...  Read Full »

Why does my platelet count decrease consistently?

Query: Hi doctor, I just wanted to ask a question. My platelets count is consistently low when examined. What is the cause for the decrease in platelet count? I am not sure what are the tests checked? I am taking tablet Zoloft.  Read Full »


Dr. Parth R Goswami

Answer: Hi, Welcome to icliniq.com. According to the history, you are having low platelet count. The various causes are dengue, malaria, hemolytic anemia, ITP (idiopathic thrombocytopenic purpura), hypersplenism, a viral infection like hepatitis, EBV (Epstein Barr virus), HIV (human immunodeficiency virus...  Read Full »

Why do I have fever, body pain, and rashes on the face?

Query: Hi doctor, I am a 57 year old male. I was down with fever since yesterday. My fever is ranging between 101 to 103 degrees Fahrenheit. Along with fever, I have body ache and some rashes on my face. Yesterday, my platelet count was 1 lakh. Today, in CBC the platelets 1.25 lakhs, RBC 4.47 and lymphocy...  Read Full »


Dr. Pooja Pardhi

Answer: Hi, Welcome to icliniq.com. I have gone through your query and can understand your health concern. As you develop rash along with high fever, I would like to suggest you consult a physician as early as possible. There are many causes of fever with rash and low platelet counts like dengue ...  Read Full »

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