Malaria (Paediatrics)

Low urgency
--

Serious infectious disease. It is common in hot, developing countries. Populations that are particularly vulnerable to this infection include: children under 5 years of age, pregnant women and people with HIV/AIDS.

It is caused by a parasite of the genus Plasmodium, transmitted by the bite of the female Anopheles mosquito.

Symptoms are varied and usually start like flu (fever, chills, headache and sweating), which may be accompanied by nausea, vomiting, abdominal and muscle pain, cough, blood in the stools, yellowing of the skin, bleeding, signs of shock (poor blood circulation and oxygen supply to the tissues) and coma. In children under 2 years of age, blood problems are more common, including severe anaemia.

Diagnosis is based on clinical interview, full physical examination and confirmation of the presence of the parasite in the blood.

Treatment is based on drugs called antimalarials: Chloroquine, Primaquine, Atovaquone, Quinine.

Bibliographic references
  1. Joel G Breman. Clinical manifestations of malaria in nonpregnant adults and children. UpToDate. May 19, 2016.
  2. Johanna Daily. Treatment of uncomplicated falciparum malaria in nonpregnant adults and children. UpToDate. Jun 23, 2016.
  3. Centers for Disease Control and Prevention. Malaria Information and Prophylaxis, by Country [A]. http://www.cdc.gov/malaria/travelers/country_table/a.html (Accessed on March 21, 2016).
  4. White NJ, Breman JG. Paludismo y babesiosis: enfermedades producidas por parásitos eritrocitarios. Harrison. Manual de Medicina. 16º edición. 606-618.
  5. M. García López Hortelano. Actualización en el diagnóstico y tratamiento de la malaria ASOCIACIÓN ESPANOLA DE PEDIATRÍA. 2012
Copyright
© TeckelMedical 2026

Symptoms

    High fever of 40ºC or above


    Feeling generally unwell


    Yellow tinge to skin and mucous membranes


    Fever / Feel very hot


    Seizures

Symptoms to watch out for

Pain that doesn't subside with analgesics
Skin's colouration change into yellow
Difficulty breathing
Dehydration signs: more fatigued than usual, dizziness, dry mouth and tongue.
Vomits that persist for more than 3 days.

Self-care

Consume over-the-counter pain relievers or anti-inflammatories.
Maintain hydration of 2 litres per day.
Relative rest, rest until symptoms subside.
Maintain a balanced diet: increase fruit, vegetable, and white meat consumption and reduce the intake of fatty meals and fritters.
Consume antiemetics if vomits are present.
Check with your general practitioner about the prescription for antimalarials.