Clinical, Laboratory and Cardiovascular Manifestations in Pediatric Malaria

Dr. Aboli Dahat; Dr.Sumitra V; Dr.S. S. Prabhu

Volume : VI, Issue : IX, September - 2017

Clinical, Laboratory and Cardiovascular Manifestations in Pediatric Malaria

Dr. Aboli Dahat, Dr. Sumitra V, Dr. S. S. Prabhu

Abstract :

To study the incidence of complications and mortality due to P.vivax and P.falciparum malaria and analyze the sequelae of systemic manifestations, especially cardiovascular and its role as a predictor of significant morbidity and mortality in children. Materials and methods - It was a single centre, observational, cross sectional study of all children aged 6 months to 15 years. The study population included all patients admitted in the ward/ IPCU and OPD with slide/rapid antigen test positive for malaria. Details of the patient including age, sex, address and religion were noted. Detailed general and systemic examination was carried out. CBC,LFT, RFT were the investigations noted. The patient was staged according to parasitic index on peripheral smear. Every patient underwent X-Ray chest, ECG and 2D Echo/colour Doppler evaluation. Results – Fever was universal finding in all patients. Spleen was involved in 100% cases of mixed malaria. P. vivax malaria was the commonest malaria found in children followed by P. falciparum. Statistically significant results obtained in Chest X-ray (p<0.032) and 2 D echocardiography (p <0.016). Conclusion - Complications of malaria are significantly higher in cases of P. falciparum monoinfection. P. falciparum monoinfection has emerged as single significant cause of cardiac morbidity in pediatric malaria patients. Morbidity though is severe its completely reversible on timely initiation of treatment.