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.