Volume : IX, Issue : VII, July - 2020

A STUDY OF MALARIA AT A TERTIARY CARE HOSPITAL IN NORTH KARNATAKA

Dr Naveen S Kulkarni, Dr. Aron V Thomas

Abstract :

Background: Malaria is a major health problem in many parts of India. It has varied manifestations and it is imperative for us to know the laboratory features of malaria along with clinical presentations. Objective: To study the haematological parameters of malaria cases. Methods: This is a retrospective study of malaria cases conducted at S. Nijalingappa Medical College and HSK Hospital and Research Centre, Bagalkot from January 2016 to January 2017. Results: In this study, among 103 patients, 71 are males and 32 females. In this 40(38.8%) are among age group 15–30 years, 30 (29.1%) belong to 31–50 years age group, 26 (25.2%) among age group 51–70 and 7 (6.7%) are age group more than 71. Malaria is most common during the month of July 20 cases (19.4%) and August 19 cases (18.43%). Out of 103 patients 61 (59.1%) had infection with P.vivax, 23 (22.3%) had infection with P.falciparum and mixed infection in 19(18.4%). Pancytopenia is noted in 17 cases, in this 5(4.85%) are Plasmodium vivax, 6 are Plasmodium falciparum (5.82%) and 6 are mixed infection (5.82%). A total of 66 cases of anaemia noted in our study, in this 13 cases are severe anaemia, among these 8 (7.76%) are infected with Plasmodium vivax, 2 (1.94%) cases of plasmodium falciparum, and 3 (2.91%) cases of mixed infection. A total of 60 cases in our study have thrombocytopenia, 16 (15.52%) cases have platelet count less than 20,000, 19 (18.43%) have platelet count 21,000–50,000, 25 (24.25%) cases have platelet count 51,000–1,50,000. Severe thrombocytopenia is seen in 3(2.91%) cases of Plasmodium vivax infection, 4 (3.88%) cases of Plasmodium falciparum infection and 7(6.97%)cases of mixed infection. Among 103 cases we noted an increase in serum creatinine value in 22 cases, 16 (15.52%) cases are due to Plasmodium vivax, 4 (3.88%) cases are due to Plasmodium falciparum and 2 (1.94%) cases have mixed infection. Our study shows 20 cases of liver dysfunction, 10 (9.7%) cases due to Plasmodium vivax, 5 (4.85%) cases of Plasmodium falciparum and 6 (5.82%) cases of mixed infection. Conclusion: Our study describes the various laboratory manifestations in malaria. Thus by being more alert and knowing the different presentations and lab features of this common disease early diagnosis can be made which in turn would help us for better treatment thus reducing the morbidity and mortality associated with it. Malaria can present as a benign illness or with significant morbidity and mortality. Along with clinical features we need to keep haematological manifestations in to consideration, this can identify early organ involvement irrespective of infection caused by vivax, falciparum and/or mixed infection malaria.

Article: Download PDF    DOI : https://www.doi.org/10.36106/paripex  

Cite This Article:

A STUDY OF MALARIA AT A TERTIARY CARE HOSPITAL IN NORTH KARNATAKA, Dr Naveen S Kulkarni, Dr. Aron V Thomas PARIPEX-INDIAN JOURNAL OF RESEARCH : Volume-9 | Issue-7 | July-2020

Number of Downloads : 119

References :