Research
Severe Plasmodium vivax malaria among sudanese children at New Halfa Hospital, Eastern Sudan
1 New Halfa Teaching Hospital, New Halfa, Sudan
2 Faculty of Medicine, Qassim, University, Qassim, Qassim, Kingdom of Saudi Arabia
3 Buraidah Central Hospital, Buraidah, Kingdom of Saudi Arabia
4 Faculty of Medicine, University of Khartoum, Sudan, P.O. Box 102, Khartoum, Sudan
Parasites & Vectors 2012, 5:154 doi:10.1186/1756-3305-5-154
Published: 30 July 2012Abstract
Background
There are few published reports on severe Plasmodium vivax malaria in Africa.
Methods
Clinical pattern/manifestations of severe P. vivax were described in children admitted at New Halfa Hospital in Sudan between September 2009-December 2011.
Results
Eighteen children were admitted at the hospital during the study period with different manifestations of severe P. vivax malaria namely: severe anaemia (6, 33.3%), jaundice (5, 27.8%), thrombocytopenia (4, 22.2%), hypotension (3, 16.7%), cerebral malaria (2, 11.1%), epistaxis (2, 11.1%), renal impairment (1, 5.5%), hypogylcaemia and more than one manifestation (5, 27.8%).
By day 2, all patients were asymptomatic, a parasitaemic and had started oral quinine and primaquine. There was no death among these patients
Conclusion
Severe P. vivax malaria is an existing entity in eastern Sudan. Further studies are required to understand emergence of severe P. vivax malaria.
