Background:
Method: This study was done at Department Of Medicine. All patients admitted with malaria in tertiary care Centre during the study period AIMS, Dewas from Sep 2018 to Aug 2019 were taken for the study after considering the inclusion and exclusion criteria. Our study is a clinical, prospective, observational and open study. Each patient was studied in detail with relevant clinical history and examination with following various investigations like peripheral smear for malarial parasite, complete blood count, renal function test , liver function test ,blood sugar level, USG abdomen ,chest x-ray , urine routine and micro and some special investigations like arterial blood gas analysis, bleeding profile.
Result: Total of 4 patients had developed hypoglycemia of which 1 had P.vivax, 1 had P.falciparum while 2 had mixed infection. Acidosis was seen in 25 patients in arterial blood gas analysis among which 21 patients had metabolic acidosis, 4 had mixed acidosis. 5 patients had developed ARDS and 5 patients had cerebral malaria.
Total 3 (6%) patient died in our study, amongst them 2 patient had mixed infection and 1 had complicated P.falciparum. The cause of death was cerebral malaria in all the case and MODS with ARDS. The entire patient died had multiple complications no mortality was there in patient with single complication.
Conclusion: Early detection of complications causing organ dysfunction utilizing Serum Creatinine >3mg/dl, total bilirubin >3mg/dl and Hb<8g/dl is valuable in diagnosing complicated malaria early and starting aggressive management, thereby preventing further morbidity and mortality.
Early detection of malaria and institution of prompt antimalarial can help to prevent complication of malaria. Early diagnosis of prompt complication and proper referral of patient to tertiary health care center can help to reduce the mortality and morbidity of the patient and gives a favorable outcome.
Keywords: Outcome, Complications, Malaria & Life.
TO STUDY THE OUTCOME OF LIFE THREATENING COMPLICATIONS IN PATIENTS WITH COMPLICATED MALARIA
