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Patients with P. vivax or P. ovale may not be completely cured by the above medications, even though the symptoms resolve. This is because the parasites can hide in the liver. A medication called primaquine is used to eradicate the liver form, but this drug cannot be given to people who are deficient in an enzyme called G6PD.
Patients should report any recurrent fever or symptoms to their doctor because treatment failures may occur. People who have had malaria should not donate blood for at least three years after treatment and should notify the donation center that they have had malaria. People who traveled to areas where malaria occurs also should not donate for a period of time, which varies according to the circumstance. Contact the donation center for specific advice.
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