TO STUDY DIFFERENT COMPLICATIONS IN PATIENTS WITH MALARIA

Method: 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, G6PD activity. Result: Out of all patients 64% (32) had hemoglobin less than 10 g/dl. Amongst all patients with malaria 18 cases of P.vivax, 8 cases of P.vivax and 6 patient mixed infection had anemia with Hb<6g/dl. In terms of percentage 57.14% of P.falciparum and 60% of P.vivax had anemia Lowest Hemoglobin was 2.1mg/dl noted with patient of mixed infection. It was managed with transfusion of packed cell volume. Conclusion: Both species are commonly presented with symptoms of intermittent Fever, chills, Bi-frontal headache, vomiting and commonly clinical feature is splenomegaly. Severe complication like anemia, thrombocytopenia jaundice, acute renal failure and sometimes life threatening cerebral malaria are need to address promptly to avoid adverse outcome. All severe complications can be found in bothspecies, though less common in P.vivax as compared to Plasmodium falciparum. Keywords: Complication, Malaria, diagnosis & Clinical Presentations