Manifestation of malaria in Mangaluru, southern India

Gai, Prabhanjan P. and Mockenhaupt, Frank P. and Siegert, Konrad and Wedam, Jakob and Boloor, Archith and Kulkarni, Suyamindra S. and Rasalkar, Rashmi and *, Arun Kumar and Jain, Animesh and *, Chakrapani M and Gai, Pramod and Baliga, Shantaram B and *, Rajeshwari Devi and Shenoy, Damodara (2018) Manifestation of malaria in Mangaluru, southern India. Malaria Journal, 17 (313). pp. 1-10. ISSN 14752875

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Background: Severe and fatal vivax malaria is increasingly reported from India. In Mangaluru, southern India, malaria is focused in urban areas and associated with importation by migrant workers. In Wenlock Hospital, the largest governmental hospital, the clinical, parasitological and biochemical characteristics of malaria patients were assessed. Methods: During the peak malaria season in 2015 (June to December), outpatients were interviewed and clinically assessed. Malaria was ascertained by microscopy and PCR assays, concentrations of haemoglobin, creatinine and bilirubin, as well as thrombocyte count, were determined, and severe malaria was defined according to WHO criteria. Results: Among 909 malaria patients, the vast majority was male (93%), adult (median, 26 years) and of low socioeconomic status. Roughly half of them were migrants from beyond the local Karnataka state, mostly from northern and northeastern states. Vivax malaria (69.6%) predominated over mixed Plasmodium vivax–Plasmodium falciparum infection (21.3%) and falciparum malaria (9.0%). The geometric mean parasite density was 3412/μL. As compared to vivax malaria, patients with falciparum malaria had higher parasite density and more frequently showed impaired general condition, affected consciousness and splenomegaly. Also, they tended to more commonly have anaemia and increased creatinine levels, and to be hospitalized (7.3%). Mixed-species infections largely assumed an interim position. Severe malaria (3.5%) was not associated with parasite species. No fatality occurred. Conclusion: In this study, uncomplicated cases of malaria predominated, with P. falciparum causing slightly more intense manifestation. Severe malaria was infrequent and fatalities absent. This contrasts with the reported pattern of manifestation in other parts of India, which requires the analysis of underlying causes.

Item Type: Article
Uncontrolled Keywords: Malaria, India, Mangaluru, Plasmodium vivax, Plasmodium falciparum, Admission, Severe, Fatal
Subjects: Medicine > KMC Mangalore > Paediatrics
Medicine > KMC Mangalore > Community Medicine
Medicine > KMC Mangalore > Medicine
Depositing User: KMCMLR User
Date Deposited: 04 Sep 2018 04:55
Last Modified: 04 Sep 2018 04:55

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