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Scholars Journal of Applied Medical Sciences | Volume-3 | Issue-02
Pulmonary Complications in Falciparum Malaria: A Retrospective Analytical Study
Arun Kumar Maria, Rakendra Singh, Manjot Kaur
Published: April 27, 2015 |
116
120
DOI: 10.36347/sjams.2015.v03i02.046
Pages: 761-767
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Abstract
In spite of various successful measures in vector control and new treatment modalities, India still suffers from
high malaria burden. Various studies have projected data of malaria morbidity and mortality though at variance with
official figures with reports of 205 000 malaria deaths /year and 1ยท8% cumulative probability of death from malaria
before age 70 years. All patients with Falciparum malaria were evaluated for pulmonary manifestations. Those with lung
involvement were further differentiated into the type pf involvement. Out of 548 cases of malaria 42 patients presented
with respiratory symptoms in the form of cough, dyspnoea, expectoration, and haemoptysis. The clinical presentations
were in the form of bronchitis (6 cases), pneumonia (9 cases), and Acute respiratory distress syndrome (7 cases). Four
out of 7 patients of ARDS died. Amongst various malarial complications, pulmonary involvement is a serious one
because of high mortality associated with its complications. Even though cough has been described as a common feature
in pulmonary involvement of malaria, the sinister complications are encountered more with the falciparum variety. We
present a retrospective data analytical study of pulmonary involvement with falciparum malaria in hospitalized patients in
our institution over a period of five years.