Multi-center Observational analysis of Malaria over 7 years in the endemic area of Vijayapur in North Karnataka
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 8
Abstract
Abstract: The objective of present study is an analysis of the clinical profile of malaria with emphasis on complicated malaria cases in the two major tertiary referral medical college hospitals in the endemic area of Vijayapur over a period of 7 years. A total210 cases presenting with fever from November 2009 to January 2016 were included in this study. All patients above 18 years with fever and proved to be having acute malaria via peripheral smear study, QBC test or pLDH antigen test positive for malarial parasite were included in this study. A total of 210 cases were diagnosed with malaria. 123 were male and 87 female. Complicated malaria was seen in 53 cases. 3 died with the overall mortality of 3.7%, causative organism in all being P. Falciparum. Mortality occurred in those admitted with multiple organ dysfunction syndromes. Rest of the patients were treated with anti-malarial agents with recovery. Chloroquine was used in those initially suspected as clinical malaria, followed by quinine or Artemisinin in confirmed cases. .Supportive management of complications such as coma, convulsions, metabolic acidosis, hypoglycemia, fluid and electrolyte disturbances, renal failure, secondary infections, bleeding disorders and anemia was done.P. falciparum was predominant cause of most complications. P. vivax also caused severe malaria complications. However the occurrence of multiple complications leads to higher mortality in the P. falciparum group. Hence, early detection with effective treatment should be the aim to reduce mortality and morbidity associated with malaria. Keywords:Clinical profile; complicated malaria; Plasmodium falciparum; Plasmodium vivax.
Authors and Affiliations
Nijora Deka, Satish Talikoti
Keywords
Related Articles
- EP ID EP371872
- DOI -
- Views 70
- Downloads 0
Comparative Study between ERCP and MRCP in Diagnosing Obstructive Jaundice
Jaundice (icterus) describes the yellow discoloration of the skin and mucous membranes, and other tissues by excess bilirubin, which is the degradation product of hemoglobin. The main objective is to hold comparison betw...
Comparative Evaluation of the Analgesic Efficacy of Transverses Abdominis Plane Block by Using Levobupivacaine and Levobupivacaine With Magnesium Sulfate in Patients Undergoing Laparoscopic Cholecystectomy Surgery
Abstract: Major abdominal surgeries are associated with severe postoperative pain. If untreated, it can lead to cardiac and respiratory problems thereby increasing postoperative morbidity. Our aim was to evaluate the e...
A Comparative study of IV Labetalol and IV Hydralazine on mean arterial blood pressure changes in pregnant women with hypertensive emergency
Abstract: The study was undertaken to compare lowering of blood pressure in pregnant women with hypertensive emergency by IV Labetalol and IV Hydralazine and to find out which drug produces better effect. This prospectiv...
Clinical Evaluation of Breast Lump
This prospective and descriptive study was conducted at the department of General Surgery at Kamineni academy of medical sciences and research centre, L.B Nagar, Hyderabad. A total 100 patients with different breast lesi...
Evaluation of the Clinical Presentation and MRI Findings to Establish the Specific Cause of Myelopathy
Abstract: Disease of the spinal cord is called myelopathy. They are frequently devastating. They produce quadriplegia or paraplegia with sensory deficits far beyond the site of damage. Many spinal cord diseases are rever...