Dear  Matthew Goers

This is a big problem  facing.  I think  it is by  old  treatment of malaria for long  period

so far i know it is individualized depending on geographical location and drug sensitivity...........

Please review the following

Guidelines for the treatment of malaria. Second edition

March 2010

World Health Organization

And also the following:

Management of severe malaria – A practical handbook. Third edition (April 2013)

Thanks Amar

I usually document IgM levels in these children and if it is high I start them on low dose  steroids for at least 3 -6 months aling with weekly chloroquine 5mg /kg /week.It really helps.

The following might be useful

http://www.nigeriamedj.com/article.asp?issn=0300-1652;year=2009;volume=50;issue=4;spage=97;epage=99;aulast=Emodi