Recurrent malaria
'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:
- UK Health Security Agency. Malaria prevention guidelines for travellers from the UK. April 2025 (online)
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