Adult
Malaria due to Plasmodium vivax or ovale
ALWAYS consult Micro/ID about fever in the returning traveller or a diagnosis of malaria
Plasmodium vivax and Plasmodium ovale are associated with persistence of infection in the liver stage (hypnozoites).
Initial treatment
- See guidelines Malaria - severe and Malaria - uncomplicated
Eradication treatment
G6PD levels should be measured, and established to be normal, prior to the commencement of primaquine.
Follow on eradication treatment is with primaquine.
- primaquine 30mg po od for 14 days
AVOID primaquine use during pregnancy
Consult Micro/ID for treatment of patients with G6PD deficiency