Case challenge · Infectious disease / Emergency · teaching

Malaria — Management Pathway · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on WHO

Case #1Infectious disease / Emergency

📋 Case data

Severe?Severe falciparum malaria

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Severe?

Confirmed malaria — does it meet WHO severe criteria?

💡 Fever + blood film (thick/thin, for species and parasite density) and/or RDT; do not treat empirically if both negative (repeat if suspected). Severe falciparum = P. falciparum parasitemia + one of (without another cause): impaired consciousness/coma (GCS <11), prostration, repeated seizures, acidosis, hypoglycemia <2.2 mmol/L, severe anemia (Hb <7), renal impairment (Cr >265 µmol/L), jaundice, pulmonary edema/ARDS, bleeding/DIC, shock, high parasitemia >10%. Stay alert for imported cases.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.