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SYMPTOMS OF SEVERE AND COMPLICATED MALARIA
The
priority requirement is the early recognition of signs and symptoms of
severe malaria that should lead to prompt emergency care of patient.
The signs and symptoms that can be used are non-specific and may be due to
any severe febrile disease, which may be severe malaria, other severe
febrile disease or concomitant malaria and severe bacterial infection.
The
symptoms are a history of high fever, plus at least one of the
following:-
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Prostration (inability to sit), altered
consciousness lethargy or coma
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Breathing difficulties
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Severe anaemia
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Generalized convulsions/fits
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Inability to drink/vomiting
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Dark and/or limited production of urine
Patients
with prostration and/or breathing difficulties should, if at all possible,
be treated with parenteral antimalarials and antibiotics. Oral treatment
should be substituted as soon as reliably possible. Frequent monitoring
of laboratory parameters is essential – blood sugar, blood urine, fluid balance,
associated infection, etc. Drugs that increase gastro intestinal bleeding
should be avoided.
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