A Study on Incidence, Clinical Profile and Prognosis of Falciparum Malaria in Jharkhand
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 7
Abstract
Introduction: Malaria is a protozoal disease transmitted by the bite of infected female Anopheles mosquitoes. The mortality in malaria is due to plasmodium falciparum. The considerable morbidity and mortality in falciparum malaria is due to its easily and continuously changing manifestations, multiorgan involvement, delay in diagnosis and failure of administration of treatment promptly and adequately. The problem is getting worse due to emergence of drug resistance. The present hospital based cross-sectional study was carried out with the aim to find the incidence, spectrum of various clinical manifestations and establish the prognosis and mortality in cases of falciparum malaria. Material and methods: A hospital based cross-sectional study was done on 80 patients of falciparum malaria in RIMS, Ranchi, Jharkhand. A case sheet proforma was prepared and data regarding demographic profile, clinical features, investigations, treatment, and complication were recorded. Results: Out of 80 cases of falciparum malaria, 57 (71.25%) were males and 23 were (28.75%) were females. The incidence of complicated falciparum malaria was higher (58.75%) as compared to uncomplicated falciparum malaria. Among the complicated cases of falciparum malaria, cerebral malaria was the commonest (42.50%) followed by malarial hepatitis with jaundice (31.25%), severe anemia (20%) and acute renal failure (17.50%). Out of 47 cases of complicated falciparum malaria, 8 cases (17.02%) who expired, presented with multiorgan failure. Conclusion: Falciparum malaria is a dreaded disease and cerebral malaria in the presence of other complications has a poor prognosis. Multiorgan failure involving three or more systems in falciparum malaria is associated with high mortality.
Authors and Affiliations
Bindey Kumar, Jeewan Kumar Mitra, Rajeshwar Rao, Angad Kumar, Manish Kumar, Anil Kumar
Keywords
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