Unusual acute and chronic complications of malaria.

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dc.contributor.authorMetha, S Ren_US
dc.contributor.authorJoshi, Ven_US
dc.contributor.authorLazar, A Ien_US
dc.date.accessioned1996-07-01en_US
dc.date.accessioned2009-05-30T23:37:27Z
dc.date.available1996-07-01en_US
dc.date.available2009-05-30T23:37:27Z
dc.date.issued1996-07-01en_US
dc.description.abstract32 cases (21 acute severe malaria and 11 chronic malaria syndrome), who developed unusual complications and/or manifestations are reported. The acute manifestations were unexplained tachypnoea 4, pulmonary oedema 5 and shock due to multiple organ dysfunction syndrome 3, melena 2 and E coli septicaemia in one. The other features were concomitant salmonellosis 2, meningitis 1, renal failure 3, hepatorenal syndrome 2, hepatitis like illness 7, neck stiffness with normal CSF 3, urticaria and subconiunctival haemorrhage 2 each, apyrexial spell with anaemia 4, thromocytopenia 3, and hypoglycaemia 3 (two pretreatment and one while on quinine in 5% glucose drip). The chronic syndrome noted were hyperreactive malaria syndrome (Tropical splenomegaly) 3, repeated haemolysis 2, chronic simple malaria with positive parasitaemia and normal Igm levels 4, and cerebellar ataxia with tremors 3. Bone marrow in these cases was hypercullular with increase plasma cells. Liver biopsy revealed lymphocytic infiltration. There was no case with permanent neurogical deficit. All patients with pulmonary oedema and multiple organ dysfunction died but chronic syndrome patients recovered fully. Early recoginition of atypical manifestation and prompt treatment will decrease the mortality and morbidity due to malaria.en_US
dc.description.affiliationMedical Division, Army Hospital, Delhi.en_US
dc.identifier.citationMetha SR, Joshi V, Lazar AI. Unusual acute and chronic complications of malaria. Journal of the Association of Physicians of India. 1996 Jul; 44(7): 451-3en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/90588
dc.language.isoengen_US
dc.source.urihttps://www.japi.orgen_US
dc.subject.meshAcute Diseaseen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshAnimalsen_US
dc.subject.meshAntimalarials --therapeutic useen_US
dc.subject.meshBiopsyen_US
dc.subject.meshChilden_US
dc.subject.meshChronic Diseaseen_US
dc.subject.meshErythrocytes --parasitologyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHepatitis --diagnosisen_US
dc.subject.meshHumansen_US
dc.subject.meshKidney Failure, Acute --diagnosisen_US
dc.subject.meshMalaria, Falciparum --complicationsen_US
dc.subject.meshMalaria, Vivax --complicationsen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPlasmodium falciparum --isolation & purificationen_US
dc.subject.meshPlasmodium vivax --isolation & purificationen_US
dc.subject.meshRecurrenceen_US
dc.subject.meshRespiratory Distress Syndrome, Adult --diagnosisen_US
dc.subject.meshSplenomegaly --diagnosisen_US
dc.titleUnusual acute and chronic complications of malaria.en_US
dc.typeJournal Articleen_US
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