A Study on Acute Renal Failure in patients of Falciparum Malaria in Jharkhand
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 9
Abstract
Introduction: Malaria is one of the most important of the parasitic diseases of humans. It is a protozoan disease transmitted by bite of female Anopheles mosquito. Malaria continues to be a major public health threat in India, particularly due to P.falciparum which is prone to complications, acute renal failure (ARF) is one of the most common complications in adults with falciparum malaria. We aimed to study the incidence, severity, clinical presentations, prognostic factors, complications and outcome of ARF in falciparum malaria cases in our hospital, a Tertiary care center. Material and Methods: A hospital based Prospective observational study was done on 60 admitted patients of falciparum malaria in Rajendra Institute of Medical Sciences, Ranchi, Jharkhand. Result: Most of the malaria cases were seen in younger age group between 20-39 years (71.67%). Males outnumbered females in this study (45 versus 10). ARF was found to be more frequent in age group ≥ 60 years(83.33), females (40%), in rural population (27.27%) and in poor socio -economic groups (56.25%). ARF was seen in 16 cases (26.67%) with 3 deaths (18.75%) compared to cases without ARF with 44 cases (73.33%) in which 1 death (2.27%) occurred. Overall mortality in patients with Falciparum malaria was 6.67%. Conclusion: Falciparum malaria is a dreadful disease and Acute Renal Failure especially when present with other complications has grave prognosis. Educating local residents with specific measures for prevention of malaria together with early diagnosis and treatment with identification and referral of malarial ARF can significantly affect mortality.
Authors and Affiliations
Abhay Kumar, Manmeet Topno, Rohit Keshav, Aman Sinha, Upendra Prasad Yadav
Keywords
Related Articles
- EP ID EP432102
- DOI -
- Views 111
- Downloads 0
Open Versus Laparoscopic Surgery for Acute Appendicitis: Clinical Comparative Outcomes at Single Academic Centre (VIMS-Kolkata)
Introduction: Laparoscopic appendicectomy is emerging as a popular treatment modality for acute appendicitis but it is still far from attaining the status of “gold standard”. The aim of this study was to compare and eval...
Intraoperative Triamcinolone Versus Bevacizumab as an Adjunct to Conjunctival Autograft in Primary Pterygium Surgery
Introduction: Pterygium is a wing shaped fibrovascular growth from the bulbar conjunctiva onto the cornea. The treatment of pterygium is surgical excision but it has high recurrence rate. Considering the role of inflamma...
Role of Honey in Post operative Tonsillectomy Cases
Introduction: Honey has been used since ancient times for healing of skin wounds and preventing infections. The aim of this study is to evaluate the effect of honey on pain, infection and wound healing in post operative...
Assessment of Nutritional Status in Chronic Obstructive Pulmonary Disease Patients
Introduction: Weight loss, muscle and fat mass depletion are common nutritional problems in COPD patients and are determinant factors in pulmonary function, health status, disability and mortality. We aimed to investigat...
Comparative Analysis of Clinical Outcomes of Open Appendectomy and Laparoscopic Appendectomy
Introduction: Open appendectomy (OA) is standardized among surgeons and, OA is typically completed using a small right lower quadrant incision and postoperative recovery is usually uneventful. It is the second most commo...