severe and complicated malaria

severe and complicated malaria

A malignant clinical form of Plasmodium falciparum infection, which is usually caused by a result of delay in treatment.
Clinical features
• A change in behaviour, confusion or drowsiness;
• Impaired consciousness or unarousable coma;
• Multiple/recurrent convulsion;
• Deep breathing or respiratory distress;
• Difficulty in breathing or demonstrable pulmonary oedema, as may be seen radiologically;
• Circulatory collapse or shock ;
• Jaundice;
• Haemoglobinuria;
• Bleeding tendency;
• Prostration (i.e, generalised weakness so the patient cannot walk or sit up without assistance);
• Severe anaemia with or without congestive cardiac failure.