Tertian

From WikiMD's medical encyclopedia

Tertian is a term used in medicine to describe a fever pattern in which the fever spikes every other day. This pattern is often associated with certain types of malaria, specifically those caused by the Plasmodium vivax and Plasmodium ovale parasites.

Etiology

Tertian fever is most commonly caused by infection with the Plasmodium vivax or Plasmodium ovale parasites. These parasites are transmitted to humans through the bite of an infected Anopheles mosquito. Once in the human body, the parasites multiply in the liver and then infect red blood cells, causing fever and other symptoms.

Symptoms

The primary symptom of tertian fever is a fever that spikes every other day. Other symptoms can include chills, sweating, headache, nausea, vomiting, muscle pain, and fatigue. In severe cases, the infection can cause anemia, jaundice, and kidney failure.

Diagnosis

Tertian fever is diagnosed through a blood test that can detect the presence of the malaria parasites. The test can also determine which species of parasite is causing the infection, which can help guide treatment.

Treatment

Treatment for tertian fever typically involves antimalarial drugs, such as chloroquine, primaquine, and mefloquine. The specific drug and dosage will depend on the species of parasite, the severity of the infection, and the patient's overall health.

Prevention

Prevention of tertian fever involves avoiding mosquito bites in areas where malaria is common. This can be achieved through the use of insect repellent, mosquito nets, and protective clothing. In some cases, antimalarial drugs may be prescribed as a preventive measure.

See also

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Contributors: Prab R. Tumpati, MD