International Journal of Advanced Medical and Health Research

ORIGINAL ARTICLE
Year
: 2021  |  Volume : 8  |  Issue : 2  |  Page : 57--62

Pattern of severe malaria with special reference to Plasmodium vivax in pediatric population of the most aspirational region of North India


Aditi Minhas1, Pratibha Mane1, Jyoti Sangwan1, Arti Dhingra2 
1 Department of Microbiology, Shaheed Hasan Khan Mewati Government Medical College, Nuh, Haryana, India
2 Department of Paediatrics, Shaheed Hasan Khan Mewati Government Medical College, Nuh, Haryana, India

Correspondence Address:
Dr. Jyoti Sangwan
Professor, Department of Microbiology, Shaheed Hasan Khan Mewati Government Medical College, Nalhar, Nuh, Haryana
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 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.


How to cite this article:
Minhas A, Mane P, Sangwan J, Dhingra A. Pattern of severe malaria with special reference to Plasmodium vivax in pediatric population of the most aspirational region of North India.Int J Adv Med Health Res 2021;8:57-62


How to cite this URL:
Minhas A, Mane P, Sangwan J, Dhingra A. Pattern of severe malaria with special reference to Plasmodium vivax in pediatric population of the most aspirational region of North India. Int J Adv Med Health Res [serial online] 2021 [cited 2022 Nov 27 ];8:57-62
Available from: https://www.ijamhrjournal.org/article.asp?issn=2349-4220;year=2021;volume=8;issue=2;spage=57;epage=62;aulast=Minhas;type=0