Pattern of severe malaria with special reference to Plasmodium vivax in pediatric population of the most aspirational region of North India
Introduction: Malaria is one of the major life-threatening health problems in most of the tropical countries. Children are the most vulnerable group accounting for 67% of all malaria-associated deaths worldwide. Southern Haryana is typically endemic for malaria. Therefore, the present study was unde...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2021-01-01
|
| Series: | International Journal of Advanced Medical and Health Research |
| Subjects: | |
| Online Access: | http://www.ijamhrjournal.org/article.asp?issn=2349-4220;year=2021;volume=8;issue=2;spage=57;epage=62;aulast=Minhas |
| _version_ | 1818943471366438912 |
|---|---|
| author | Aditi Minhas Pratibha Mane Jyoti Sangwan Arti Dhingra |
| author_facet | Aditi Minhas Pratibha Mane Jyoti Sangwan Arti Dhingra |
| author_sort | Aditi Minhas |
| collection | DOAJ |
| description | Introduction: Malaria is one of the major life-threatening health problems in most of the tropical countries. Children are the most vulnerable group accounting for 67% of all malaria-associated deaths worldwide. Southern Haryana is typically endemic for malaria. Therefore, the present study was undertaken to describe the clinical presentation of complicated malaria and correlate clinical complications with malarial species. Materials and Methods: It was an observational cross-sectional study conducted in the Department of Microbiology along with Department of Pediatrics, Shaheed Hasan Khan Mewati Government Medical College, Nalhar, Nuh, Haryana. A total of 100 children with severe malaria admitted in the pediatric ward, confirmed by peripheral blood smear and rapid diagnostic test, were included. Results: Out of 100 cases admitted, majority were due to Plasmodium vivax (73%), followed by mixed (18%) and Plasmodium falciparum (9%) infection. Children below 5 years were more infected (57%). Male preponderance was seen (55%). Fever was the most common symptom observed (95%). Pallor was the most common sign observed (85%). Among severity parameters, the most common were severe anemia (41%), jaundice (17%), abnormal bleeding (17%), convulsions (15%), and acute respiratory distress syndrome (7%). The case fatality rate was 3%. Conclusion: P. vivax was previously known to cause benign malaria. The present study found that P. vivax mono-infection can cause severe malaria in children and should no longer be considered as benign malaria. |
| first_indexed | 2024-12-20T07:27:51Z |
| format | Article |
| id | doaj.art-870aedbb5427413bb393e3f8de0be4c9 |
| institution | Directory Open Access Journal |
| issn | 2349-4220 2350-0298 |
| language | English |
| last_indexed | 2024-12-20T07:27:51Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | International Journal of Advanced Medical and Health Research |
| spelling | doaj.art-870aedbb5427413bb393e3f8de0be4c92022-12-21T19:48:29ZengWolters Kluwer Medknow PublicationsInternational Journal of Advanced Medical and Health Research2349-42202350-02982021-01-0182576210.4103/ijamr.ijamr_21_21Pattern of severe malaria with special reference to Plasmodium vivax in pediatric population of the most aspirational region of North IndiaAditi MinhasPratibha ManeJyoti SangwanArti DhingraIntroduction: Malaria is one of the major life-threatening health problems in most of the tropical countries. Children are the most vulnerable group accounting for 67% of all malaria-associated deaths worldwide. Southern Haryana is typically endemic for malaria. Therefore, the present study was undertaken to describe the clinical presentation of complicated malaria and correlate clinical complications with malarial species. Materials and Methods: It was an observational cross-sectional study conducted in the Department of Microbiology along with Department of Pediatrics, Shaheed Hasan Khan Mewati Government Medical College, Nalhar, Nuh, Haryana. A total of 100 children with severe malaria admitted in the pediatric ward, confirmed by peripheral blood smear and rapid diagnostic test, were included. Results: Out of 100 cases admitted, majority were due to Plasmodium vivax (73%), followed by mixed (18%) and Plasmodium falciparum (9%) infection. Children below 5 years were more infected (57%). Male preponderance was seen (55%). Fever was the most common symptom observed (95%). Pallor was the most common sign observed (85%). Among severity parameters, the most common were severe anemia (41%), jaundice (17%), abnormal bleeding (17%), convulsions (15%), and acute respiratory distress syndrome (7%). The case fatality rate was 3%. Conclusion: P. vivax was previously known to cause benign malaria. The present study found that P. vivax mono-infection can cause severe malaria in children and should no longer be considered as benign malaria.http://www.ijamhrjournal.org/article.asp?issn=2349-4220;year=2021;volume=8;issue=2;spage=57;epage=62;aulast=Minhaspediatric populationplasmodium vivaxsevere malaria |
| spellingShingle | Aditi Minhas Pratibha Mane Jyoti Sangwan Arti Dhingra Pattern of severe malaria with special reference to Plasmodium vivax in pediatric population of the most aspirational region of North India International Journal of Advanced Medical and Health Research pediatric population plasmodium vivax severe malaria |
| title | Pattern of severe malaria with special reference to Plasmodium vivax in pediatric population of the most aspirational region of North India |
| title_full | Pattern of severe malaria with special reference to Plasmodium vivax in pediatric population of the most aspirational region of North India |
| title_fullStr | Pattern of severe malaria with special reference to Plasmodium vivax in pediatric population of the most aspirational region of North India |
| title_full_unstemmed | Pattern of severe malaria with special reference to Plasmodium vivax in pediatric population of the most aspirational region of North India |
| title_short | Pattern of severe malaria with special reference to Plasmodium vivax in pediatric population of the most aspirational region of North India |
| title_sort | pattern of severe malaria with special reference to plasmodium vivax in pediatric population of the most aspirational region of north india |
| topic | pediatric population plasmodium vivax severe malaria |
| url | http://www.ijamhrjournal.org/article.asp?issn=2349-4220;year=2021;volume=8;issue=2;spage=57;epage=62;aulast=Minhas |
| work_keys_str_mv | AT aditiminhas patternofseveremalariawithspecialreferencetoplasmodiumvivaxinpediatricpopulationofthemostaspirationalregionofnorthindia AT pratibhamane patternofseveremalariawithspecialreferencetoplasmodiumvivaxinpediatricpopulationofthemostaspirationalregionofnorthindia AT jyotisangwan patternofseveremalariawithspecialreferencetoplasmodiumvivaxinpediatricpopulationofthemostaspirationalregionofnorthindia AT artidhingra patternofseveremalariawithspecialreferencetoplasmodiumvivaxinpediatricpopulationofthemostaspirationalregionofnorthindia |