Cerebral malaria in rural India.

dc.contributor.authorKamble, Milind Ben_US
dc.contributor.authorRaut, Pradeep Pen_US
dc.contributor.authorHussain, Z Fen_US
dc.date.accessioned2002-08-03en_US
dc.date.accessioned2009-05-30T10:59:01Z
dc.date.available2002-08-03en_US
dc.date.available2009-05-30T10:59:01Z
dc.date.issued2002-08-03en_US
dc.description.abstractOBJECTIVE: A cross-sectional hospital based study was carried out to investigate clinical features and outcome of cerebral malaria in a rural area. METHODS: All children fulfilling inclusion criteria, were enrolled and were entered on specially designed proforma. Their peripheral smear (PS) were studied based on which the diagnosis was classified as definite cerebral malaria (DCM) and probable cerebral malaria (PCM). RESULT: There were 2991 admissions in pediatric ward, of which 1394 (46.6%) were for fever. Of 781 (56.6%) cases with fever no cause was identified. Of the 56 cases positive for malarial parasite on PS 4.3% were Plasmodium vivax (PV) and 2.8% Plasmodium falciparum (PF). Fifteen patients fulfilled the criteria for study of which 7 were DCM and 8 belonged to PCM group. Twelve (80%) were in school-going age group and M : F ratio was 2 : 1. All patients presented with fever, and CNS involvement, 66.6% had convulsion, 7 developed coma, anaemia was seen in 60%, but only 20% required blood transfusion. Splenomegaly and hepatomegaly was seen in 53.3% and 47% cases respectively.Two patients died, one each in DCM and PCM. Cerebral malaria is a serious complication of severe falciparum malaria and is seen in approximately 32% of PF positive cases. CONCLUSION: PCM is an entity which should be kept in mind when treating fever without definite focus in rural areas, because timely and specific therapy is lifesaving.en_US
dc.description.affiliationDepartment of Paediatrics, Shri. Vasantrao Naik Govt. Medical College, Yavatmal, India. milind1732@rediffmail.comen_US
dc.identifier.citationKamble MB, Raut PP, Hussain ZF. Cerebral malaria in rural India. Indian Journal of Pediatrics. 2002 Aug; 69(8): 659-61en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/79210
dc.language.isoengen_US
dc.source.urihttps://medind.nic.in/icb/icbai.shtmlen_US
dc.subject.meshAnimalsen_US
dc.subject.meshChilden_US
dc.subject.meshChild, Preschoolen_US
dc.subject.meshCross-Sectional Studiesen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshIndia --epidemiologyen_US
dc.subject.meshInfanten_US
dc.subject.meshMalaria, Cerebral --diagnosisen_US
dc.subject.meshMaleen_US
dc.subject.meshPlasmodium vivaxen_US
dc.subject.meshRural Populationen_US
dc.titleCerebral malaria in rural India.en_US
dc.typeJournal Articleen_US
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