A Study on Incidence and Prognostic Value of Jaundice in Patients of Plasmodium falciparum Malaria in Jharkhand
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 10
Abstract
Introduction: Malaria is still one the most important protozoan disease causing significant mortality. One of the causes may be because of atypical presentation of the disease resulting in delay in diagnosis and treatment. Jaundice is one the important predictors of severity of the disease. Jaundice when present alone indicates severe disease and when in combination with other complications ARF (Acute Renal Failure) indicates poor prognosis. Material and Method: A hospital based prospective observational study was done on 71 confirmed cases of P. falciparum malaria admitted in our hospital from July 2017 to August 2018. Result: The total no. of cases in the study was 71. The mean age of the patients was 34.76 ± 12.81 years. Majority of the cases (49) were seen in age group 20 -39 years (69.01%). On looking at the sex distribution, total no. of cases among males were 53 (74.64%) and 18 were females (23.35%), no. of males was more than females. Majority of the patients came from rural areas 51 (71.83%) as compared to urban areas 20 (28.17%) this may be due to poverty, lack of proper education and living in unhygienic conditions. 32.39% of the patients (23) were tribal and 67.61 % (48) were non-tribals. According to serum bilirubin levels, patients were classified into two Groups A (53 patients, serum bilirubin <3 mg/dl), B (18 patients, serum bilirubin > 3 mg/dl). Group B patients had total bilirubin, direct bilirubin, indirect bilirubin, serum glutamic oxaloacetic transaminase, SGPT, and alkaline phosphatase levels in the range of 9.67±7.37 mg/dl, 5.22±4.31mg/dl, 4.46±3.85 mg/dl, 119.39± 99.07 IU/L, 62.22±40.18 IU/L, and 126.17±46.12 U/L, respectively. Conclusion: We suggest that jaundice in P. falciparum malaria can serve as an important prognostic factor indicating a severe disease as serum bilirubin rises. When it is associated with ARF prognosis becomes bad. Jaundice with fever in an malaria endemic country like India, P. falciparum malaria should always be ruled out.
Authors and Affiliations
Dr Jeewan Kumar Mitra
Keywords
Related Articles
- EP ID EP512264
- DOI -
- Views 57
- Downloads 0
Rare Case of Gallbladder Adenomyomatosis in Female
Adenomymatosis of gallbladder is a benign condition. Adenomymatosis of gallbladder is tumor like lesions that are found in 2% of all cholecystectomies. Adenomyomas are characterized by ROKITANSKY ASCHOFF SINUSES. Adenomy...
Study on Practice and Perception of Beneficial and Ill Health Effects of Food Items In Rural Area Of Pondicherry
Introduction: There is an agreement and disagreement among people about the effect of foods on health status of individuals. Some attribute to systemic symptoms as they perceive it as causative factor. It is necessary t...
Clinico- epidemiological profile of vitiligo patients attending outpatient department of JNIMS
Background: Vitiligo is an acquired depigmenting disorder characterized by amelanotic macules resulting from loss of melanocytes. Objective: To study the clinico-epidemiological profile of vitiligo patients attending the...
A Descriptive MRI Analysis of Pattern, Location and Grading of Meniscal Injuries of the Knee Joint with Arthroscopic Correlation
Background: Within a decade of its clinical introduction, magnetic resonance imaging has revolutionized diagnostic imaging of the knee. It has become the imaging test of choice for meniscal pathologies in the knee. Purpo...
Occular Prosthesis – Case Series
Eyes are generally first features of the face to be noticed and most vital organ of the body. loss of eye due to any reason affect the psychology and appearance of the patient. Occular prosthesis is an artificial replace...