Abstract
Most of the studies on malaria in children are reported from Africa, but only a few are from India. A retrospective study of 305 children with slide positive malaria was conducted at Rourkela, Orissa. 5.2% children were below 1 year of age. 34.1% were between 1 and 5 years and 60.7% were above 5 years. 63.9% were boys. The presenting symptoms were fever (98.4%), vomiting (52%), and headache (22%). 121 patients had one or more complications viz., cerebral malaria (n = 56), severe anemia (39), jaundice (31), convulsions (20), hypoglycemia (10) and only one with acute renal failure. 22 patients died.
References
Orimadegun AE, Fawole O, Okereke JO, Akinbami FO, Sodeinde O. Increasing burden of childhood severe malaria in a Nigerian tertiary hospital: implication for control. J Trop Pediatr. 2007;53:185–9.
Oduro AR, Koram KA, Rogers W, et al. Severe falciparum malaria in young children of the Kassena-Nankana district of northern Ghana. Malar J. 2007;6:96.
Idro R, Otieno G, White S, et al. Decorticate, decerebrate and opisthotonic posturing and seizures in Kenyan children with cerebral malaria. Malar J. 2005;4:57.
Lesi FE, Nwosu SU, Mafe AG, Egri-Okwaji MT. Pattern of cerebral malaria in children at the Lagos University Teaching Hospital. Niger Postgrad Med J. 2005;12:275–9.
Tripathy R, Parida S, Das L, et al. Clinical manifestations and predictors of severe malaria in Indian children. Pediatrics. 2007;120:e454–60.
White NJ. Plasmodium knowlesi: the fifth human malaria parasite. Clin Infect Dis. 2008;46:172–3.
Mishra SK, Mohanty S, Satpathy SK, Mohapatra DN. Cerebral malaria in adults—a description of 526 cases admitted to Ispat General Hospital in Rourkela, India. Ann Trop Med Parasitol. 2007;101:187–93.
Mishra SK, Newton CRJC. Diagnosis and management of the neurological complications of falciparum malaria. Nat Rev Neurol. 2009;5:189–98.
Molyneux ME, Taylor TE, Wirima JJ, Borgstein A. Clinical features and prognostic indicators in paediatric cerebral malaria: a study of 131 comatose Malawian children. Quart J Med. 1989;71:441–59.
Mishra SK, Panigrahi P, Mishra R, Mohanty S. Prediction of outcome in adults with severe falciparum malaria: a new scoring system. Malar J. 2007;6:24.
Acknowledgements
We record our sincere thanks to Dr R Satpathy, Dr BS Das and Dr SK Satpathy Ex- Joint Directors as well as all Directors of Ispat General Hospital, Rourkela for their encouragement and support.
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Nanda, N.C., Rath, P., Acharya, J. et al. Falciparum Malaria in Children—A Brief Report of 305 Patients from Rourkela, Eastern India. Indian J Pediatr 78, 475–477 (2011). https://doi.org/10.1007/s12098-010-0287-7
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DOI: https://doi.org/10.1007/s12098-010-0287-7