Study of Clinical Profile in Malaria at CIMS, Bilaspur, Chhattisgarh, India

Objective: Study report aimed at to study clinical features, complications, response to treatment of malaria cases admitted and outcome at tertiary care hospital at CIMS, Bilaspur ,Chhattisgarh, India. Material & Methods: This is descriptive, retrospective study, conducted in confirmed cases of Malaria, either by peripheral smear or rapid diagnostic test of patients admitted in the Department of Medicine, CIMS, Bilaspur (CG), from December 2010 to February 2012. The patients were from Bilaspur and admitted from periphery for admissions. Results: A total of 100 cases were included in the study. Mean age was 25.5 years. Amongst them, 62% were male and 38 % were female. The most common form of malaria was in the order of falaparum, vivax and then mixed variety. Max patients 42% presented between 3-7 days after onset of symptoms, most common symptoms were fever (85%) ,followed by vomiting (20%), cough (16%), unconsciousness (16%), seizure (16%), jaundice (13%), breathlessness (11%). No of cases of severe malaria was 38% 15% mortality was noted and 85% had good recovery. Conclusion: The study shows major population were of falciparum malaria. Highest incidence of falciparum malaria is due to patient admitted in tertiary care hospital. Severe malaria is a poor prognostic factor. Combination therapy of artisunate in severe falciparum malaria is good option. Perspective study is needed for studying the changing trends of clinical features of malaria species.