Internat Médecine (Côte D'Ivoire) Practice Questions - Concours National D'Internat Des Hôpitaux En Médecine (Côte D'Ivoire) Exam

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A 28-year-old patient presents with high fever, impaired consciousness, severe pallor, and dark urine. The thick blood film confirms Plasmodium falciparum malaria with a parasite density of 180,000 trophozoites/μL. According to WHO and Côte d'Ivoire national malaria guidelines, what is the first-line emergency antimalarial treatment?

Intravenous artesunate at 2.4 mg/kg at 0, 12, and 24 hours, then once daily Intramuscular artemether at 3.2 mg/kg once daily for 7 days Intravenous quinine gluconate loading dose of 20 mg/kg infused over 4 hours in 5% dextrose Oral artemether-lumefantrine 80/480 mg twice daily with fatty food

Correct Answer:

Intravenous artesunate at 2.4 mg/kg at 0, 12, and 24 hours, then once daily

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