Malaria

What is Malaria

Malaria is a febrile illness caused by protozoan micro-organisms, belonging to family plasmod idiae.

How is it caused?

While sucking blood from human beings the female anopheles mosquito, inject the micro-organisms into the human being. In India malaria due to P.vivax & P.falciparam is seen. Vivax malaria is generally uncomplicated but nowdays complicated malaria with P.vivax has been reported . Malaria is one of the biggest medical problem, with india amongst the worst affected country due to malaria resurgence. Malaria can present clinically as fever with cough or vomiting .Newer test like the malaria antigen test is highly specific& more sensitive than routine microscopy.

Treatment

Recently the malarial species has developed resistance to drugs used earlier. This has necessitated the use of other newer drugs. Falciparam malaria tends to develop severe malaria. Increased red blood cell destruction in malaria leads to jaundice &anemia. Arteminisin-based combination drug therapy is the first line therapy for malaria.

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WINTER DIAHORREA

Winter diahorrea is generally caused by a virus called Rotavirus.

Most clinical cases occur in children younger than 2 years.

Rotavirus spreads via the faeco-oral route.

Infection typically begins with vomiting, fever & watery stools.

Vomiting & fever decrease on day 2 of illness,but diahorrea continues for 5-7 days.

Dehydration may develop rapidly.

Avoiding & Treating dehydration are the main goals in the treatment.

In most patients rehydration via the oral route is enough.

LV fluids are required for infants in shock.

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