Changing clinical profile of malaria at a tertiary care hospital

Authors

  • Shital N. Rathod Department of General Medicine, Dr. SCGMC, Nanded, Maharashtra, India
  • Arvind Chavan Department of Pediatrics, Dr. SCGMC, Nanded, Maharashtra, India
  • Shilpa Sharma Department of General Medicine, MGM Hospital, Navi Mumbai, Maharashtra, India
  • Tushar Rathod Department of Orthopedics, Seth GS Medical College, Mumbai, Maharashtra, India
  • Nihal Khan Department of General Medicine, Dr. SCGMC, Nanded, Maharashtra, India
  • Koustubh Bavdhankar Department of General Medicine, Dr. SCGMC, Nanded, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20181844

Keywords:

Malaria, P. vivax, P. falciparum, Atypical presentation, Cough

Abstract

Background: There is a widespread range of diverse typical and atypical manifestations of malaria. The diagnosis of malaria may escape the attention of treating physician due to its unusual and vague presentations.The morbidity and mortality due to malaria is increased due to lack of early diagnosis and right treatment. The Aim of the present study was to examine the changing clinical pattern of malaria with special attention to atypical presentations.

Methods: The present study comprised of 630 cases of definitively diagnosed malaria.Diagnostic methods used were conventional thick and thin peripheral smear stained with Leishman stain and rapid malarial antigen test.

Results: This study revealed atypical symptoms like lack of taste (1.3%), throat discomfort (13.33%) and cough (24.0%) and vomiting (52.4%) as presenting complaints. These were significantly more in patients with P. vivax infestations.

Conclusions: A high degree of suspicion is necessary for early detection and treatment of malaria, especially of unusual presentations.

References

Kochar DK, Sirohi P, Kochar SK. Malaria in India. Ed SingalSK.Medicine update (proceedings of scientific session -APICON 2007;17:639-48.

Singh P, Mehta N, Tada NG. Comparison of clinical profile and severity of P. falciparum and P. vivax malaria in a tertiary care hospital of Surat, India. Int J ContempPediatr 2016;3:1288-92.

Talib VH, Hasija BD, Verma MC. Some observationson changing trends of malaria. JAPI 1992;49:381-3.

Guidelines for diagnosis and treatment of malaria in India. New Delhi, 2014. Available at http:// nvbdcp.gov.in/Doc/Diagnosis-Treatment-Malaria2013.pdf. Accessed on 12 July 2016.

Makkar RPS, Monga SMA, Gupta AK. Plasmodium vivax malaria presenting with severe thrombocytopenia. Braz J Infect Dis. 2002;6:263-5.

Jain DS, Shrivastava, Singhal SS.A rare presentation of P.falciparum malaria. JAPI. 43:582-83.

Kato Y, Ohnishi K, Sawada Y, Suenagea M. Purpura fulminans: an unusual manifestation of severe falciparum malaria. Trans R Soc Trop Med Hyg. 2007;101:1045-7.

K. Park. Park’s Textbook of Preventive and Social Medicine.18th ed. Banarsidas Bhanot Publishers, India 2005.

Kortepeter M, Brown JD. A review of 79 patients with malaria seen at a military hospital in Hawaii from 1979 to 1995. Mil Med. 1998;163:84-89.

Mehta SR. Study of 210 cases of falciparum malaria. JAPI 1986;34:118-20.

Kakar A, Bhoi S, Prakash V, Kakar S.. Profound thrombocytopenia in Plasmodium vivax malaria. Diagn Microbiol Infect Dis. 1999;35:243-4.

Gopinathan VP, Dutta DK, Bhupta AG. Falciparum malaria in North eastern sector. JAPI. 1981;29:1029.

Murthy GL, Sahay RK, Srinivasan VR, Upadhya AC. Clinical profile of falciparum malaria in a tertiary care Hospital. J Indian Med Assoc 2000;98:160-214.

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Published

2018-05-22

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Section

Original Research Articles