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Category: Volume 06 Issue 08 August 2018
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Title: Clinical profile of Malaria cases in a tertiary care hospital in Kerala

Authors: Dr Suma Samuel, Dr Jacob K Jacob, Dr Jilse George, Dr Manjula V.D, Dr Shiji K Jacob, Dr Bhagyanath T., Dr Amrish, Dr Arunjith N.K.

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i8.148

Abstract

Background: Urbanization in Kerala has been associated with migration of construction workers from North East India & Central India. The incidence of Malaria is on a rise in Kochi & remains a public health issue. Where Malaria was a controlled infection but for a few pocket areas, now it has up surged in a populous area of Central Kochi.

Objective: A retrospective clinical study of 100 malaria cases that had presented to Government Medical College, Ernakulam in the year 2016-2017 was carried out.

Results: Males outnumbered females in the incidence of infection. Plasmodium Vivax was the predominant form of infestation.  Economically productive age group was more affected. Non Keralites were primarily affected. Thrombocytopenia was the predominant lab parameter that was deranged. There was no case fatality.

Conclusion: Plasmodium Vivax was the predominant species causing Malaria. All the patients were migrants.

References

  1. Fact Sheet: World Malaria Report 2016 [Internet]. World Health Organization. World Health Organization; [cited 2018Mar2]. Available from: http://www.who.int/malaria/media/world-malaria-report-2016/en/Week plus Nov 19 2017
  2. NATIONAL FRAMEWORK FOR MALARIA ELIMINATION IN INDIA (2016–2030) [Internet]. NATIONAL FRAMEWORK FOR MALARIA ELIMINATION IN INDIA (2016–2030). Available from: http://nvbdcp.gov.in/Doc/National-framework-for-malaria-elimination-in-India-2016%E2%80%932030.pdf
  3. Douglas NM, Pontororing GJ, Lampah DA, Yeo TW, Kenangalem E, Poespoprodjo J, et al. Mortality attributable to Plasmodium vivax malaria: a clinical audit from Papua, Indonesia. BMC Medicine. 2014Nov18;12(1):217.
  4. Rahimi B, Thakkinstian A, White NJ, Sirivichayakul C, Dondorp AM, Chokejindachai W. Severe vivax malaria: a systematic review and meta-analysis of clinical studies since 1900. Malaria Journal. 2014;13(1):481.
  5. Naing C, Whittaker MA, Wai VN, Mak JW. Is Plasmodium vivax Malaria a Severe Malaria?: A Systematic Review and Meta-Analysis [Internet]. PLOS Neglected Tropical Diseases. Public Library of Science; 2014 [cited 2018Mar4]. Available from: http://journals.plos.org/plosntds/article?id=10.1371%2Fjournal.pntd.0003071
  6. Berthod D, Rochat J, Voumard R, Rochat L, Genton B, D’Acremont V. Self-diagnosis of malaria by travellers: a cohort study on the use of malaria rapid diagnostic tests provided by a Swiss travel clinic. Malaria Journal. 2017;16(1).
  7. Dhawan G, Joseph N, Pekow PS, Rogers CA, Poudel KC, Bulzacchelli MT. Malaria-related knowledge and prevention practices in four neighbourhoods in and around Mumbai, India: a cross-sectional study. Malaria Journal. 2014;13(1):303.
  8. Muddaiah M. A study of clinical profile of malaria in a tertiary referral centre in South Canara. Journal of Vector Borne Diseases [Internet]. 2006Mar [cited 2018Mar4];43:29–33. Available from: http://www.mrcindia.org/journal/issues/431029.PDF
  9. Jimmy Antony, Celine TM, Michale Chacko. Staging back of Malaria in Kerala, India: A Retrospective study. International Research Journal of Social Sciences [Internet]. 2013Dec14 [cited 2018Mar3]; 2(12):42–6. Available from: http://www.isca.in/IJSS/Archive/v2/i12/7.ISCA-IRJSS-2013-183.php#references
  10. N CHOWTAM, N CHOWTAK. Study Of Clinical Profile Of Malaria At KMC Hospital, Attavar, India. Journal of Clinical and Diagnostic Research [Internet]. 2007Jun [cited2018Mar5];1(3):110–5. Available from:http://jcdr.net/article_fulltext.asp?issn=0973-709x&year=2007&month=June&volume=1&issue=3&page=110&id=66

Corresponding Author

Dr Jacob K Jacob

Professor of Medicine