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- Title
Pattern of severe malaria with special reference to Plasmodium vivax in pediatric population of the most aspirational region of North India.
- Authors
Minhas, Aditi; Mane, Pratibha; Sangwan, Jyoti; Dhingra, Arti
- Abstract
Introduction: Malaria is one of the major life-threatening health problems in most of the tropical countries. Children are the most vulnerable group accounting for 67% of all malaria-associated deaths worldwide. Southern Haryana is typically endemic for malaria. Therefore, the present study was undertaken to describe the clinical presentation of complicated malaria and correlate clinical complications with malarial species. Materials and Methods: It was an observational cross-sectional study conducted in the Department of Microbiology along with Department of Pediatrics, Shaheed Hasan Khan Mewati Government Medical College, Nalhar, Nuh, Haryana. A total of 100 children with severe malaria admitted in the pediatric ward, confirmed by peripheral blood smear and rapid diagnostic test, were included. Results: Out of 100 cases admitted, majority were due to Plasmodium vivax (73%), followed by mixed (18%) and Plasmodium falciparum (9%) infection. Children below 5 years were more infected (57%). Male preponderance was seen (55%). Fever was the most common symptom observed (95%). Pallor was the most common sign observed (85%). Among severity parameters, the most common were severe anemia (41%), jaundice (17%), abnormal bleeding (17%), convulsions (15%), and acute respiratory distress syndrome (7%). The case fatality rate was 3%. Conclusion: P. vivax was previously known to cause benign malaria. The present study found that P. vivax mono-infection can cause severe malaria in children and should no longer be considered as benign malaria.
- Subjects
INDIA; RISK of malaria; MALARIA diagnosis; BLOOD sugar analysis; PROTOZOA; BIOCHEMISTRY; LIVER function tests; STATISTICS; SCIENTIFIC observation; ACADEMIC medical centers; FEVER; KIDNEY function tests; CROSS-sectional method; AGE distribution; CUTANEOUS manifestations of general diseases; POPULATION geography; SEVERITY of illness index; MALARIA; SEX distribution; ADULT respiratory distress syndrome; RISK assessment; ANEMIA; CHI-squared test; DISEASE prevalence; SEIZURES (Medicine); ELECTROLYTES; BLOOD cell count; DATA analysis software; ODDS ratio; JAUNDICE; HEMORRHAGE; SYMPTOMS; DISEASE complications; CHILDREN
- Publication
International Journal of Advanced Medical & Health Research, 2021, Vol 8, Issue 2, p57
- ISSN
2349-4220
- Publication type
Article
- DOI
10.4103/ijamr.ijamr_21_21