STUDY OF CEREBRAL MALARIA IN PREGNANCY IN A TERTIARY CARE HOSPITAL OF EASTERN ODISHA
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 40
Abstract
BACKGROUND The present work aimed at the clinical mode of presentation, degree of parasitaemia, complications and prognostic trends of pregnant women in cerebral malaria. Evaluation of mortality in different trimesters, varied complications and comparison with nonpregnant women was done. MATERIALS AND METHODS Thirty three pregnant women with cerebral malaria were studied. Twenty nonpregnant such cases of reproductive age group admitted to Department of Medicine, S.C.B. Medical College, Cuttack, Odisha, were taken as control. The cases were taken in random order. RESULTS Maximum numbers of cases (45.45%) were primigravidae in second trimester of pregnancy. They exhibited higher incidence of anaemia and parasitaemia (2-10%), resulting in abortion and premature labour. CONCLUSION All the cases of cerebral malaria were found to be anaemic, but the severity of anaemia was more pronounced in primi (21%) as compared to multigravidae (6.4%). High parasitaemia associated with leucocytosis (27.27%) resulted in poor prognosis. Hypoglycaemia (15.15%), high level of urea, creatinine and alteration in parameters of liver function test further complicated the scenario leading to multiorgan failure. Recovery in cases of primigravidae was prolonged as compared to multigravidae.
Authors and Affiliations
Bidyut Prava Das, Ratnadeep Ganguly
Keywords
Related Articles
- EP ID EP219486
- DOI 10.18410/jebmh/2017/477
- Views 112
- Downloads 0
SURGICAL MANAGEMENT OF CHRONIC ACHILLES TENDON RUPTURES WITH BOSWORTH TECHNIQUE- A PROSPECTIVE STUDY
BACKGROUND The Achilles tendon is the strongest tendon in the human body. Retraction and atrophy of the tendon ends, scar tissue between the tendon ends makes primary repair of the chronic Achilles tendon tear difficult....
DECEASED DONOR KIDNEY TRANSPLANTATION: A RETROSPECTIVE ANALYSIS FROM A TERTIARY CARE HOSPITAL IN MUMBAI
BACKGROUND Increasing deceased donor kidney donation is the only answer to fill the large gap between availability and need for organ donors. Deceased donor kidney transplant rates are picking up in the Southern and West...
HYSTEROSALPINGOGRAM IN EVALUATION OF PRIMARY INFERTILITY- A RETROSPECTIVE STUDY
BACKGROUND Infertility is one of the commonest problems encountered in gynaecology. Improved familiarity with and access to infertility services among the affluent and better educated patients probably accounts for their...
PREDICTORS OF CORONARY SLOW FLOW OR NO REFLOW PHENOMENA AFTER PRIMARY PERCUTANEOUS CORONARY INTERVENTION
BACKGROUND The treatment of acute myocardial infarction (AMI) is thought to restore antegrade blood flow in the infarct-related artery with percutaneous coronary interventions (PCI). The present study was undertaken to i...
A STUDY OF FETAL OUTCOME IN OLIGOHYDRAMNIOS (AFI BETWEEN 0-7)
OBJECTIVES: Amniotic fluid Volume (AFV) is an important indicator of fetal wellbeing Oligohydramnios affects 0.5 to 5% of the pregnancy. In presence of Oligohydramnios if the AFI is 0-7 the fetal outcome is not good. If...