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Infectious Disease · Malaria · Akoka

Malaria Symptoms in Lagos?
Test and Treat the Same Day.

Fever, chills, sweating, headache, and body aches that come in cycles — classic malaria. Nigeria accounts for 27% of global malaria deaths. At Mascot Healthcare, Akoka, a rapid diagnostic test confirms or rules out malaria in 20 minutes and treatment begins the same visit. From ₦5,000.

Malaria RDT — 20 minsBlood film microscopyTreatment same visitBy appointment · Akoka, Lagos
Malaria RDT from ₦5,000  ·  Results in 20 minutes  ·  Treatment same visit
Symptoms

Classic Malaria Symptoms to Know

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Cyclic high fever

Fever that spikes, often in the afternoon or evening, then drops — with sweating. Repeated cycles every 24–48 hours are characteristic of malaria.

Urgent malaria RDT
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Chills and rigors

Severe shaking chills before the fever — often so intense they are frightening. This is the classic 'cold stage' of a malaria attack.

Same-day RDT + treatment
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Severe headache

Frontal or whole-head headache accompanying the fever — one of the most consistent malaria symptoms.

Malaria RDT
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Body aches and weakness

Generalised muscle pain, joint aches, and profound fatigue — often so severe the patient cannot get up.

RDT + assessment
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Nausea and vomiting

Nausea during the fever stage, sometimes with vomiting. Vomiting affects oral medication absorption — IV treatment may be needed.

Assessment for severe malaria
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Yellow eyes (jaundice)

In severe malaria, red blood cell destruction releases bilirubin — causing yellowing of eyes and skin. This indicates severe disease.

Urgent — severe malaria
⚠️ Severe malaria warning signs — go to hospital immediately: Convulsions, inability to sit up, persistent vomiting preventing oral medication, altered consciousness, severe anaemia (very pale), difficulty breathing, or jaundice. These indicate cerebral or severe malaria requiring IV artemisinin treatment.
The Lagos context

Malaria in Lagos — What You Need to Know

Lagos is a year-round malaria transmission zone — unlike seasonal zones in northern Nigeria. Plasmodium falciparum accounts for more than 95% of malaria in Lagos, and this is the most dangerous species. It can cause cerebral malaria and death within 24–48 hours if untreated in vulnerable individuals (children under 5, pregnant women, immunocompromised adults).

The malaria-typhoid confusion problem

In Lagos, it is extremely common for patients to be treated for "malaria-typhoid" simultaneously — receiving both antimalarials and antibiotics without proper testing. This practice leads to antibiotic overuse, resistance, and treatment of diseases the patient doesn't have. Proper testing takes 20 minutes and costs far less than combination empirical treatment. At Mascot Healthcare, we test before we treat.

The two tests we use

Rapid Diagnostic Test (RDT): A finger-prick blood test that detects malaria parasite antigens in 15–20 minutes. High sensitivity for P. falciparum — the most dangerous species. The result is available before you leave the consultation room.

Blood film microscopy: A blood smear examined under a microscope identifies the parasite species, counts the parasite density (important for assessing severity), and remains the gold standard for malaria diagnosis. Results available the same day.

Artemisinin-based combination therapy (ACT) — the correct treatment

The WHO-recommended first-line treatment for uncomplicated P. falciparum malaria in Nigeria is an artemisinin-based combination therapy (ACT) — typically artemether-lumefantrine (Coartem) or artesunate-amodiaquine. Chloroquine is no longer effective due to resistance. Fansidar (sulfadoxine-pyrimethamine) monotherapy is also no longer recommended for treatment. At Mascot Healthcare, we prescribe based on current WHO and FMOH Nigeria guidelines.

Our Malaria Assessment

We do not guess. We test, diagnose, and treat correctly.

  • Rapid malaria RDT (P. falciparum HRP-2 antigen) — 20 minutes
  • Blood film for microscopy where clinical severity or species identification needed
  • Combined malaria/typhoid testing where both clinically indicated
  • ACT prescription based on confirmed diagnosis and current guidelines
  • IV artesunate assessment if severe malaria features present — urgent referral arranged
  • Pregnancy screening before treatment (artemisinin-based drugs require caution in first trimester)
  • Prevention counselling — insecticide-treated nets, indoor residual spraying, prophylaxis for travellers
Questions

Malaria FAQs

How much is a malaria test in Lagos?
A malaria RDT at Mascot Healthcare costs from ₦5,000. A blood film microscopy for species identification is also available. Antimalarial medication is prescribed on the same visit after confirmation of the diagnosis.
I took antimalarials from the pharmacy but I'm not getting better. What should I do?
Failure to improve after 48–72 hours of ACT treatment warrants urgent reassessment. Possible reasons: wrong diagnosis (not malaria), treatment failure (rare with first-line ACT), severe malaria requiring IV treatment, or co-infection with typhoid or bacterial illness. Come in immediately.
Can I have malaria if my test is negative?
RDT has high sensitivity for P. falciparum but may miss very low parasitaemia (very early infection) or non-falciparum species. If clinical suspicion is high and RDT is negative, a blood film provides additional information. A repeat RDT 24–48 hours later may also be considered.
I'm pregnant and think I have malaria. Is treatment safe?
Malaria in pregnancy is extremely dangerous — it causes severe maternal anaemia, miscarriage, preterm labour, and low birth weight. Treatment is essential. The choice of antimalarial depends on trimester. Come in immediately — do not delay treatment in pregnancy.

Get Tested and Treated for Malaria Today.

Malaria RDT in 20 minutes at Mascot Healthcare, Akoka. By appointment from ₦5,000. Same-day treatment.

RDT test
₦5,000
Result
20 minutes
Treatment
Same visit

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