'Once you get malaria, it keeps coming back' - true or false?
Hypnozoite-induced relapses occur in vivax and ovale malaria but can be treated successfully and further relapses prevented.
If the patient has received a full course of treatment with modern antimalarial drugs and has not been re-exposed to malaria, it is extremely unlikely that a history of recurrent febrile illness over a number of years is the result of chronic malaria.
Reference:
- Public Health England. Guidelines for malaria prevention in travellers from the UK 2019
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