Malaria Control & Elimination

Recurrent malaria

Recur­rent malaria is a perplexing clinical problem and limited scien­tific data is available on its diag­nostic approach, and manage­ment. Symptoms of malaria can recur after varying symptom-free periods. Depending upon the cause, recurrence can be classified as either recrudescence, relapse, or reinfection. Recrudescence is when symptoms return after a symptom-free period. It is caused by parasites surviving in the blood as a result of inadequate or ineffective treatment.

High gametocytes, rare crisis forms, pseudopartheno, genesis form, equatorial trophozoi­las, malaria pigment containing leuocytes and phagocytosed para­sites were found in relapsing vivax malaria. For the future, PCR, geno­typing may be able to identify the genotype of the primary attack and recurrences and help resolve the problem of distinguishing recru­descences from reinfection.

. Related journals for vector malaria, air borne malaria, genetics, immunology.

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