A CLINICAL STUDY OF FALCIPARUM MALARIA - 302 CASES.

Med J Armed Forces India

Graded Specialist (Medicine), 10 Air Force Hospital, C/o 99 APO.

Published: January 1998

AI Article Synopsis

  • A study of 302 falciparum malaria cases, including 30 severe cases, highlighted common symptoms like intermittent fever, chills, and headaches, with cough and pyuria also prevalent.
  • A total of 16.6% of patients had anemia, and hypoglycemia was not observed in any cases.
  • Treatment with quinine, tetracycline, and sulfadoxine-pyrimethamine resulted in a 100% cure rate for uncomplicated chloroquine-resistant malaria, while amodiaquine with tetracycline and sulfadoxine-pyrimethamine was effective in 76.2% of uncomplicated cases.

Article Abstract

Three hundred and two cases of falciparum malaria including 30 cases of severe falciparum malaria admitted between Jan 93 - Dec 93 were studied for their clinical features and response to treatment. Intermittent or remittent fever with chills and headache were the commonest presentation noted (99.3%). Cough (46.4%), hyperbilirubinemia (31.8%), and pyuria (52.9%) were the other notable features. Anaemia was uncommon (16.6%). Hypoglycacmia was detected in none of the cases. Quinine for 3 days along with tetracycline and sulfadoxine - pyrimethamine achieved a 100 per cent cure rate in uncomplicated chloroquine resistant falciparum malaria. Amodiaquine along with tetracycline and sulfadoxine - pyrimethamine was effective in 76.2 per cent of uncomplicated cases.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5531211PMC
http://dx.doi.org/10.1016/S0377-1237(17)30396-9DOI Listing

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