Severe falciparum  malaria:  Its epidemiological distribution & varied clinical presentation and outcome.

Avinash Kumar Sahay; Ghazi Sharique Ahmad

Volume : IV, Issue : VI, June - 2015

Severe falciparum malaria: Its epidemiological distribution & varied clinical presentation and outcome.

Avinash Kumar Sahay, Ghazi Sharique Ahmad

Abstract :

Aims: Study was conducted for various clinical presentation, different stages of coma and its relation to mortality under Glasgow coma scale and age, sex distribution in cases of severe falciparum malaria. Methods and material : Total 48 cases of severe Plasmodium Falciparum malaria were selected clinically, these cases were confirmed by microscopic examination of thick and thin blood smear and rapid diagnostic test. Observation: Patients were age between 5 to 10 years (54.1% ). All the patients were fever and 31 of them were fever with rigor. 84.5% were pallor, 37.5 % were unconscious with respiratory symptoms, 14.5% cough, 6.25%, eathlessness, 43.5 % convulsion, 12.5 % neck stiffness, one patient were aphonia. 39.5 % were GCS less than 10 , 33.3 % were GCS in between 10 and 14 while 27.3 % were GCS 15. Conclusion: High index of suspicion and awareness about varied specific and non specific manifestations of severe falciparum malaria is necessary for a diagnosis and management of the disease , which will reduce the mortality and morbidity of this lethal condition of Plasmodium Falciparum malaria.