Case | Age | Sex | Admitted | Clinical | Haematology | Biochemistry | MP | Treatment | country visited |
---|---|---|---|---|---|---|---|---|---|
1 | 46 y | M | November 2007 | High intermittent fever, Body aches, vomiting, diarrhoea of 4 days, 2 cm splenomegaly and tender hepatomegaly 3 cm | Hb-11 g/dL, WBC-4.8 × 109/L N-55%, Platelet 110 × 109/L | ALT-110 iu/L, AST-140 iu/L | P. vivax Parasite count 3760/μL | Chloroquine Premaquine | None |
2 | 18 y | M | April 2008 | High intermittent fever, severe headache, vomiting, 4 days; progressed to confusion, rigidity over 24 hours, 3 cm hepatomegaly | Hb-10 g/dL, WBC-5.6 × 109/L, N-64%, Platelet 158 × 109/L | ALT-90 iu/L AST-58 iu/LB. Urea: 65 mg/dL | P. malariae and P falciparum parasite count 26,000/μL | iv Quinine + Doxycycline+ Co artum + Premaquine | Johannesburg South Africa |
3 | 33 y | M | 1st admission: December 2009 | Shortness of breath on exertion, lethargy for one month, sever pallor, 6 cm Splenomegaly | Hb- 5.5 g/dL, WBC 6.2 × 109/L, Platelets-230 × 109/L, Basophilic stippling in red cells | ALT- 56 iu/L, AST-110 iu/L, Serum Pb > 65 mg/dL | Malaria parasite nil. Malaria Ag negative | Penicilamine | Uganda |
 |  | M | 2nd admission: January 2010 | High intermittent fever, sever pallor, ill and toxic, 8 cm Splenomegaly and 4 cm hepatomegaly | Hb-6.5 g/dL, WBC-2.2 × 109/L, Platelets-65 × 109/L, Retic count-5% Bone marrow biopsy: normal | SGOT-100 iu/l, SGPT-248 iu/L S.Bilirubin-normal S.Protein-5.1 g/dl, Alb-3.7 g/dl, Glob-1.3 g/dl γGT-69.2 iu/L PT & INR-1.14 | P. falciparum Parasite count 3550/μL | Iv Quinine + Co artum + Premaquine |  |
4 | 35 y | M | September-2010 | High intermittent fever, mild icterus, body aches, headache, vomiting, 2 cm splenomegaly, 4 cm hepatomegaly | Hb-10.5 g/dL, WBC-2.8 × 109/L, Platelets-45 × 109/L, | ALT-430 iu/L, AST-560 iu/L, S.Bil 3.4 mg/dl B. Urea: 98 mg/dL | P. vivax + ve (serology for Dengue leptospira, Viral hepatitis A, B, C, E negative) | Chloroquine + Premaquine | Kolkata India |
5 | 28 y | M | October 2010 | High intermittent fever, mild icterus, body aches, headache, vomiting, 4 cm splenomegaly, 3 cm tender hepatomegaly | Hb-11.5 g/dL, WBC-6.2 × 109/L, Platelets-35 × 109/L, | ALT-630 iu/L, AST-1054 iu/L, Serum Bilirubin 2.4 mg/dl B. Urea: 45 mg/dL |  |  |  |