Severe falciparum malaria |
| |
Authors: | Email author" target="_blank">S?K?SatpathyEmail author N?Mohanty P?Nanda G?Samal |
| |
Institution: | (1) Department of Pediatrics, M.K.C.G. Medical College and Hospital, Berhampur, India;(2) Kanchan Nivas, VIP Colony, Komapalli, Berhampur, 760 004 Orissa |
| |
Abstract: | Falciparum malaria affect all ages with multiple-systemic complications which varies in different age group. We studied 242
children with complicated Falciparum malaria with a median age of 6.5 years to look for occurrence of different complications
in younger and older age groups and overall mortality picture. Unarousable coma (40.5%), severe anemia (26.03%). repeated
seizures (46.2%) and hepatopathy (32.2%) were commonest complications. Under five children had higher risk of development
of cerebral malaria (P<0.01), severe anemia (P<0.05) and seizures (P<0.001); whereas above five children had higher risk of
acute renal failure (P<0.05) and malarial hepatopathy (P<0.02). Over all mortality was 9.9%, cerebral malaria being the commonest
cause (6.6%). Multi-system involvement was seen in 58.4% cases of death. Children having pulmonary edema, shock and cerebral
malaria had high case fatality rate. |
| |
Keywords: | Severe falciparum malaria Under-five malaria Malarial hepatopathy |
本文献已被 PubMed SpringerLink 等数据库收录! |
|