What must be tested in a suspected case of severe malaria before treatment?

In a suspected case of severe malaria, testing for low blood sugar is critical before initiating treatment. Severe malaria, particularly caused by Plasmodium falciparum, can lead to complications such as hypoglycemia, especially in young children who are more vulnerable to fluctuations in blood sugar levels. Before administering treatments like intravenous artesunate or other antimalarials, it is essential to assess and correct any hypoglycemia because low blood sugar can significantly worsen the patient's condition and can be life-threatening if not addressed promptly.

Recognizing and mitigating hypoglycemia in these patients is vital to ensure the safe administration of malaria treatment, thus helping to improve overall outcomes. This proactive testing aligns with the IMCI guidelines, emphasizing the importance of comprehensive assessment and management in severe illness cases.