Challenges in Providing Treatment of Severe Malaria Case in aDistrict Hospital of Remote Area in Indonesia

Authors

Dimas Priantono, RSUD Larantuka, Kabupaten Flores Timur, Nusa Tenggara Timur
Asep Purnama, SMF Penyakit Dalam, RSUD dr. T.C. Hillers, Maumere, Kabupaten Sikka, Nusa Tenggara Timur
Erni Juwita Nelwan, Divisi Tropik Infeksi, Departemen Ilmu Penyakit Dalam, Fakultas Kedokteran Universitas Indonesia/Rumah Sakit dr. Cipto Mangunkusumo, JakartaFollow

Abstract

Severe Malaria is commonly found due to Plasmodium falciparum infection, which is causing high mortality in patient. A Severe case might be difficult to treat optimally in the remote settings area that could be due to lack in awareness of disease manifestation and inadequate diagnostic facilities. We report a case of Severe Malaria Falciparum infection, confirmed by blood smear examination of Plasmodium falciparum (Pf) parasites. Patient had received Artemicinin Based Combination Therapy (ACT), which consisted of dihydroartemisinin (DHA)-piperaquine and primaquine (PQ) with no clear clinical and microscopy improvement. The second line anti malaria consisted of quinine, doxycycline, and PQ was then initiated, showing clinical and microscopy responses.

References

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Recommended Citation

Priantono, Dimas; Purnama, Asep; and Nelwan, Erni Juwita (2017) "Challenges in Providing Treatment of Severe Malaria Case in aDistrict Hospital of Remote Area in Indonesia," Jurnal Penyakit Dalam Indonesia: Vol. 4: Iss. 1, Article 8.
DOI: 10.7454/jpdi.v4i1.112
Available at: https://scholarhub.ui.ac.id/jpdi/vol4/iss1/8