Deb T, Mohanty R K, Ravi K, Bhagat B M
Mercy Hospital, Jamshedpur.
J Assoc Physicians India. 1992 Jun;40(6):381-4.
To identify the uncommon presentations of falciparum malaria in an endemic area and to assess the outcome of treatment, a study was carried out on 35 proved cases whose clinical presentations were either dominated by features other than fever or the history of fever was totally absent. Both urban and rural patients were included. Seventeen cases (48.3%) presented with features of cerebral malaria. Acute abdomen, urticaria, and unexplained shock were the other atypical presentations. Five cases (14.3%) of cerebral malaria died. We conclude that awareness of atypical presentations is important to detect cases of falciparum malaria in an endemic area. Intravenous quinine may need to be given promptly even when cerebral malaria is diagnosed empirically.
为了识别疟疾流行地区恶性疟的不典型表现并评估治疗效果，对35例确诊病例进行了一项研究，这些病例的临床表现要么以发热以外的症状为主，要么完全没有发热史。研究纳入了城市和农村患者。17例（48.3%）表现为脑型疟症状。急腹症、荨麻疹和不明原因休克是其他非典型表现。5例（14.3%）脑型疟患者死亡。我们得出结论，认识非典型表现对于在疟疾流行地区发现恶性疟病例很重要。即使经验性诊断为脑型疟，也可能需要立即给予静脉注射奎宁。
