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MALARIA  Akshat Jain
Malaria - History Alphonse Laveran Sir Ronald Ross Giovanni Grassi
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13 yr. old M admitted from ER with fever for last 11 days of T max 105.8F ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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Physical Exam : ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Labs: ,[object Object]
Labs: ,[object Object],[object Object],[object Object]
 
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Malaria – Geographic distribution
 
 
 
Malaria – Vectors Anopheles balabacensis A. freeborni A. gambiae A. stephensi
Serious problem in Africa ,[object Object],[object Object],[object Object]
Disease Burden-United States ,[object Object],[object Object],[object Object]
Malaria – Red blood cell invasion
The Panama Canal (1905-1910) ,[object Object],[object Object]
 
Clinical Presentation- ,[object Object],[object Object],[object Object]
Clinical Presentation- ,[object Object],[object Object]
SYMPTOMS ,[object Object],[object Object]
 
 
SYMPTOMS ,[object Object]
SYMPTOMS ,[object Object],[object Object]
Features in kids in Endemic region- ,[object Object],[object Object]
NEONATES ,[object Object],[object Object],[object Object]
RECRUDESCENCE OR RELAPSE ,[object Object],[object Object],[object Object]
Understanding Relapse     ,[object Object],[object Object],[object Object],[object Object]
Clinical  Pearl …. ,[object Object],[object Object]
  “ Roman fever ” ,[object Object]
Physical Signs-  ,[object Object],[object Object],[object Object],[object Object]
Striking contrast between the palm of a Kenyan child with anaemia, and that of his mother .
DIFFERENTIAL  DIAGNOSIS
 
COMPLICATIONS  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cerebral malaria   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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Renal Impairment  &  Blackwater Fever ,[object Object],[object Object],[object Object],[object Object]
Noncardiogenic pulmonary edema ,[object Object],[object Object]
 
[object Object],[object Object],[object Object]
Malaria and Sickle cell anemia
Work Up  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pv Pm Pf Po Immunofluorescent antibody Malaria PCR
Dipstick tests - ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Malaria - Treatment Artemisinin
TREATMENT - ,[object Object]
Chloroquine (Aralen) ,[object Object],[object Object],[object Object],[object Object]
Quinine (Quinamm) ,[object Object],[object Object]
Pyrimethamine-sulfadoxine (Fansidar) ,[object Object]
Primaquine ,[object Object],[object Object],[object Object],[object Object],[object Object]
Halofantrine (Halfan) ,[object Object],[object Object]
Mefloquine (Lariam) ,[object Object],[object Object],[object Object]
Qinghaosu-   Effective against erythrocytic forms of all 4 human plasmodia, but is used for multidrug-resistant  P falciparum  malaria ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Atovaquone/proguanil (Malarone) ,[object Object],[object Object]
INNATE  PROTECTION  ,[object Object],[object Object],[object Object]
INNATE  PROTECTION ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Regimens — Chemoprophylaxis  ,[object Object],[object Object]
[object Object],[object Object],[object Object]
Doxycycline ,[object Object],[object Object],[object Object]
[object Object],[object Object]
Primaquine  —   ,[object Object],[object Object],[object Object]
Pregnant travelers  — ,[object Object]
Pregnant travelers ,[object Object],[object Object]
Pregnant travelers ,[object Object],[object Object]
Contraindicated in Pregnancy  ,[object Object],[object Object],[object Object]
Treatment –P.A.R.T. ,[object Object],[object Object]
VACCINES
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Thank You !! ,[object Object]

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Malaria PRESENATION AT NEW YOR MEDICAL COLLEGE AKSHAT JAIN

Notas del editor

  1. Univ. Michigan, Global Change Program and VCU Dept. Pediatrics
  2. CDC Image library