A Study of Clinical Features, Laboratory Profile, Outcome of Malaria Patients Admitted In PBM Children Hospital, Bikaner
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 4
Abstract
Aim : To study the epidemiology and clinico-laboratory profile with clinical outcome of admitted children suffering from malaria. Material & Method : This prospective hospital based study was carried out on the children admitted in PBM Hospital, S.P. Medical College. Total 126 patients with plasmodium mono infection were analysed in this study. Results : Out of total 126 children included in study, 116 (92.1%) children had vivax malaria monoinfection and the remaining 10 children (7.9%) were positive for falciparum malaria. Fever was present in all (100%) children presenting with malaria, while thrombocytopenia was present in 83(65.9%) children and severe anemia was present in 55(43.7%) children. Bleeding was present in 12(9.5%) of cases; hematuria being the most common complaint. Hepatic dysfunction was also present in 12(9.5%) children. Renal dysfunction was present in 8(6.4%) children. ARDS was present in 5(4.0%), shock was present in 2(1.6%) children while only 1 patient had hypoglycemia as presenting complaint. Conclusion : Plasmodium vivax can manifest as severe malaria with all its complications as seen with P. falciparum. Thus, it challenges the perception of P. vivax as a benign disease. Fever, anaemia and splenomegaly are the commonest clinical features of malaria. WHO definition of severe malaria and knowledge of epidemiological background helps in early identification of high risk children, so that prompt treatment is given.
Authors and Affiliations
Dr. Anuja Sapre
Keywords
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