Muhammad Asif Farooq, Amjad Salamat, Muhammad Ashraf Iqbal.
Malaria - An experience at CMH Khuzdar (Balochistan).
J Coll Physicians Surg Pak Jan ;18(4):257-8.
A total of 505 patients of either sex and from various age groups referred from Khuzdar and its tehsils Wadh and Nal, with clinical impression of malaria to CMH (Combined Military Hospital) Khuzdar, in whom laboratory diagnosis was confirmed, between August 2003 to December 2004, were included in the study. Information regarding age, sex, residence/stay at Khuzdar, duration of fever, associated clinical symptoms and finding on clinical examination, laboratory investigations were recorded on a standard proforma. Cases of malaria were seen throughout the year with maximum number during the months of May to November.Majority of patients were young adult males. Only 10% of cases were below the age of 10 years while 10.61% were females. Common presenting clinical features are shown in Table II. Herpes labialis was found in 4.6% while 48% had splenomegaly and 14% had hepatomegaly. Five patients were hospitalized in comatose/confused state. Out of 505, 347 (69%) cases were positive for Plasmodium falciparum, 119 (24%) cases were positive for Plasmodium vivax, while 36 (7%) had mixed infection with a sexual stages of both Plasmodium falciparum and vivax. The malarial index was calculated. The highest malarial parasite of 8% was seen in 2 children hospitalized in comatosed state with severe anemia needing blood transfusion. Low hemoglobin (HB<10 gm/dl) was seen in 24 (4%) cases. Patients with P. vivax malaria responded to chloroquine phosphate and those with P. falciparum malaria and mixed infection without complication were given tab quinine sulphate and doxycycline.
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