Vol. 3, Issue 6 (2016)
Prognostic value of blood glucose levels at the time of admission in complicated malaria
Author(s): Dr. Balaraju G, Dr. Sridhar D, Dr. Muralidhar L
Abstract: Occasionally malaria present with unusual symptoms and signs. Malaria is still the commonest cause of fevers requiring hospitalization in tropical area. A series of 1189 cases of fever with chills and rigors was studied, but only 80 cases have been included in this study for various reasons. The overall incidence of hypoglycemia in patients with severe falciparum malaria is likely to be high. But the diagnosis in such patients poses obvious difficulties. Changes in level of consciousness or depending coma, are usually attributed to cerebral malaria, and other signs such as sweating and tachycardia are common similar to hypoglycemia. There were three deaths (37.5% mortality) in cerebral malaria with hypoglycemia group. The three deaths are because of old age with ARDS, Acute renal failure and severe hepatic involvement respectively. As hypoglycemia is associated with severe malaria and high mortality our aim is to catch the attention of physicians on this entity.