Paronychia: incidence during Magh Mela

Simple item page
dc.contributor.authorNarain, Upmaen_US
dc.contributor.authorKant, Arunen_US
dc.contributor.authorBajaj, Ashok Kumaren_US
dc.date.accessioned2020-04-09T07:40:10Z
dc.date.available2020-04-09T07:40:10Z
dc.date.issued2018-07
dc.description.abstractBackground: Prevalence of complications in malaria continues to grow even with reducing number of malaria cases. Complications associated with malaria can involve multiple organs. There is paucity of literature on factors associated with multi organ dysfunction in different types of malaria.Methods: Our aim was to study the clinical profile of complications in different types of malaria with specific focus on multi-organ dysfunction (MODS). In this cross-sectional study confirmed cases of malaria were enrolled.Results: Plasmodium vivax malaria was the predominant type seen in 74.1% cases. The overall prevalence of thrombocytopenia was 61.5%, hepatic dysfunction 58%, cerebral malaria 16.1%, Hypoglycemia 7.5%, bleeding 34.5%, acute respiratory distress syndrome (ARDS) 5.7% and acute kidney injury (AKI) 49.4%. Hypoglycemia was significantly higher in mixed malaria (0.025, p = 0.025). Hepatic dysfunction and hyperbilirubinemia were significantly higher in mixed malaria (p=0.001). Mortality was seen in mixed malaria (p = 0.007). Only those with mixed malaria died (13%). Patients with MODS had higher prevalence of rashes (p <0.0001) and cerebral malaria (p = 0.000). Serum levels of urea, creatinine, Bilirubin, Serum glutamic oxaloacetic transaminase (SGOT) and Serum glutamic pyruvic transaminase (SGPT) were significantly higher in patients with MODS (p<0.0001 for all variables). On evaluating factors associated with multi-organ dysfunction presence of cerebral malaria [OR: 6.4 (95% CI): 2.4 to 17.4; p<0.0001], type of malaria (Vivax or Falciparum or both) [1.77 (1.03 to 3.03); p=0.0038], and hypoglycemia [4.4 (1.08 to 17.8); p=0.038] were statistically significant on multivariate analysis.Conclusions: The present study demonstrates the factors associated with multi organ dysfunction and its impact on clinical outcome in different types of malaria.en_US
dc.identifier.affiliationsDepartment of Microbiology, Tejas Microdiagnostic, Allahabad, Uttar Pradesh, Indiaen_US
dc.identifier.affiliationsDermatologist, Tejas Clinic, Allahabad, Uttar Pradesh, Indiaen_US
dc.identifier.affiliationsDepartment of Dermatology, Moti Lal Nehru Medical College, Allahabad, Uttar Pradesh, Indiaen_US
dc.identifier.citationNarain Upma, Kant Arun, Bajaj Ashok Kumar. Paronychia: incidence during Magh Mela. International Journal of Advances in Medicine. 2018 Jul; 5(4): 960-963en_US
dc.identifier.issn2349-3925
dc.identifier.issn2349-3933
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/194063
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber4en_US
dc.relation.volume5en_US
dc.source.urihttps://dx.doi.org/10.18203/2349-3933.ijam20183128en_US
dc.subjectAcuteen_US
dc.subjectBacteriaen_US
dc.subjectChronicen_US
dc.subjectFungusen_US
dc.subjectParonychiaen_US
dc.titleParonychia: incidence during Magh Melaen_US
dc.typeJournal Articleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
ijam2018v5n4p960.pdf
Size:
75.09 KB
Format:
Adobe Portable Document Format
Download
Collections
International Journal of Advances in Medicine