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Clinical Case 7
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1

RR is a 35 year-old man who has come to see you prior to travel to Africa. He is going to help design a water treatment plant in a rural community. He has been healthy with the exception of a controlled seizure disorder and recent treatment for major depression, for which he is taking Zoloft. In review of the CDC’s travel site (www.cdc.gov/travel/) you note that he is traveling to a region with chloroquine-resistant falciparum malaria.

Which of the following should NOT be used for malaria prophylaxis for Mr. R?
A)DEET based mosquito repellants
B)Doxycycline daily prophylaxis
C)Lariam (Mefloquine) weekly prophylaxis
D)Malarone (Atovaquone + Progunail) daily prophylaxis
E)Mosquito netting at night





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