Volume : IX, Issue : IV, April - 2019

Renal complication of malaria – a study done at a tertiary care centre

Dr. Amith V L D 8216 Souza, Dr. Shafeel Ibrahim

Abstract :

INTRODUCTION: The reappearance of malaria in the Indian subcontinent has become a foremost national health dilemma with a significant morbidity and mortality = .The awareness of the factors that affect the susceptibility of the host can be an added advantage to effective predict and fore see the complications malaria. There has been increasing evidence that the severity of malaria has associated with it the increase in the incidence of renal dysfunction. In the district of Dakshina Kannada, malaria is rampant and considered as an endemic disease. In view of the above said we did a conduct a study on the relationship between renal dysfunction and malarial infection in the district of Dakshina Kannada MATERIALS AND METHODS: The study was conducted in a time frame of three years between 2015 January and Feuary 2019 at a two medical college and research hospitals at Dakshina kannada. During this period a total of 750 cases of malaria who agreed to participate in the study and met the pre – defined criteria set for the study . Results and observations In the present study we had 81.6%, 612 cases males and 18.4%, 138 cases females , the gender difference was statistically highly significant with a chi square test value χ2 =74.476 .P=.000<0.001. Malaria was found to be most common in the 21–30 years of age group (48%, 360 cases ) and less at the older age group those patients with malaria who were of the age 60 years and above P=.000<0.001 , the commonest malarial infection was vivax malaria that was seen in 68.8% (516 cases) followed by mixed in 14.93% , 112 cases and falciparum in 16.27 % , 122 cases of the total malarial cases .Maximum complications was seen in the age group of 21–30 years of age group (51.4%) whereas the least was seen in patients who were above 60 years (2.7%) %). Both Falciparum and mixed infections were commonly seen in the age group of 21–30 years with values of 9.2% and 18.3% respectively. 256 cases , 34 % had complications Among complications the commonest seen was hepatic dysfunction in 43.75% , followed by renal dysfunction in 74 cases, 28.91% Acute respiratory distress syndrome comprising of 58 cases , 22.66% and nervous system involvement 12 cases 4.68% Falciparum infected patients showed more number of ARDS cases whereas mixed malarial patients showed more number of acute renal dysfunction cases .

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

RENAL COMPLICATION OF MALARIA‾A STUDY DONE AT A TERTIARY CARE CENTRE, Dr. Amith V L D' Souza, Dr.Shafeel Ibrahim INDIAN JOURNAL OF APPLIED RESEARCH : Volume-9 | Issue-4 | April-2019

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