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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1990-3-8
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pubmed:abstractText |
Clinical details and present day problems encountered in 425 cases of falciparum malaria (PF) are reported. 10.11% had taken chloroquine prior to reporting to us. Parasitic count done in 23.05% cases lacked correlation with severity of disease. Pattern of fever varied markedly but 5.4% were afebrile throughout and presented only with bodyache and malaise. Apyrexial spell was noted in 5.64%. 28.70% had typical facial looks of anaemia and sallow complexion. Cerebral symptoms were noted in 3.05%. Other symptoms were severe headache 33.4%, pain abdomen 3.29%, gastroenteritis 5.64%, jaundice 2.58% and bronchitis in 7.50%. We encountered subconjunctival haemorrhages with purpura and/or urticaria in four cases, symptoms suggestive of shock lung in 3, pulmonary oedema in 2, severe anaemia (HB less than 4 g%) in seven pregnant ladies, extrapyramidal symptoms in follow up period in 5 and congenital malaria in 2 cases. 83.25% were cured with chloroquine and oxytetracycline. 8.47% (who deteriorated despite the above treatment) were treated with quinine for 6 days. 5.17% (with severe disease) were also given quinine as first line drug. 2.82% (unresponsive to chloroquine and oxytetracycline but with mild disease) were treated with pyrimethamine-sulphamezathine combination for 5 days. One case who did not respond to quinine was treated with quinidine. Recrudescence was seen in 3.67% of patients treated with chloroquine and oxytetracycline. There was no case with renal failure, haemolysis due to G6PD deficiency and black water fever. There was only one death (0.23%) in our series. Self-medication, haphazard therapy and the slogan "Fever may be malaria-take chloroquine" can lead to problems in falciparum malaria.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0004-5772
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
37
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
264-7
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:2693436-Adolescent,
pubmed-meshheading:2693436-Adult,
pubmed-meshheading:2693436-Aged,
pubmed-meshheading:2693436-Animals,
pubmed-meshheading:2693436-Child,
pubmed-meshheading:2693436-Child, Preschool,
pubmed-meshheading:2693436-Chloroquine,
pubmed-meshheading:2693436-Female,
pubmed-meshheading:2693436-Humans,
pubmed-meshheading:2693436-India,
pubmed-meshheading:2693436-Infant,
pubmed-meshheading:2693436-Infant, Newborn,
pubmed-meshheading:2693436-Malaria,
pubmed-meshheading:2693436-Male,
pubmed-meshheading:2693436-Middle Aged,
pubmed-meshheading:2693436-Oxytetracycline,
pubmed-meshheading:2693436-Plasmodium falciparum
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pubmed:year |
1989
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pubmed:articleTitle |
Falciparum malaria--present day problems. An experience with 425 cases.
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pubmed:publicationType |
Journal Article
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