A CASE OF CEREBRAL MALARIA WITH MALARIAL RETINOPATHY IN PEDIATRIC PATIENT

Dr. Rohit Agrawal; Dr. Ravi Pandey; Dr. Ibadullah Khan

Volume : VI, Issue : III, March - 2017

A CASE OF CEREBRAL MALARIA WITH MALARIAL RETINOPATHY IN PEDIATRIC PATIENT

Dr. Rohit Agrawal, Dr. Ravi Pandey, Dr. Ibadullah Khan

Abstract :

Malarial retinopathy is recently described set of retinal signs diagnostic of severe malaria. This case highlights the importance of detailed binocular fundus examination to detect the presence of malarial retinopathy in cereal malaria. 5year male was diagnosed as case of cereal malaria with malarial retinopathy. On admission patient had temperature of 102F, Pulse–110/min, Hepatosplenomegaly with anaemia, altered sensorium, isk deep tendon reflexes with B/L plantar extensor.Investigations:Hb–8.4mg%,PS–Plasmodiumfalciparum,USG–Hepatosplenomagely,CT–generalized cereal Oedema. Fundoscopy–bilateral normal optic disks, multiple intra–retinal hemorrhages in central retina, subhyaloid hemorrhage in both eyes masking the fovea with retinal whitening and vessel changes. Child was started on IV artesunate for 7 days followed by oral Artemether–lumefantrine combination. Convulsions were controlled with intravenous phenytoin. Over the next 3 days he improved, regained normal sensorium but complained of diminution of vision. Best–corrected vision: RE–6/36, LE–6/60 on discharge. The vision in RE–6/18 and LE– 6/24 at 6–week follow–up. Fundoscopy showed absorbing subhyaloid haemorrhages & intra–retinal hemorrhages disappeared completely.