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ISSN: 2470-6965

Malaria Control & Elimination
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Case Report

Fatal Cerebral Malaria with Multi-Organ Dysfunction and Oleander Poisoning

Akshaya K Mohanty1, Praveen K Sahu2*, Pattnaik R3, Anita M4, Kishore C Mahanta3 and Sanjib M2

1Institute of Life sciences, Bhubaneswar, Odisha, India

2Molecular and Immunology Laboratory, ISPAT General Hospital, Rourkela, Odisha, India

3Department of Emergency and Trauma Management, ISPAT General Hospital, Rourkela, Odisha, India

4Department of Chest and Pulmonary Medicine, ISPAT General Hospital, Rourkela, Odisha, India

*Corresponding Author:
Praveen K Sahu
Molecular and Immunology Laboratory
ISPAT General Hospital, Rourkela
Odisha 769005, India
Tel: +91-661-2645777
E-mail: [email protected]

Received date: October 10, 2016; Accepted date: October 28, 2016; Published date: November 04, 2016

Citation: Mohanty AK, Sahu PK, Pattnaik R, Anita M, Mahanta KC, et al. (2016) Fatal Cerebral Malaria with Multi-Organ Dysfunction and Oleander Poisoning. Malaria Contr Elimination 6: 151. doi:10.4172/2470-6965/1000151

Copyright: © 2016 Mohanty AK, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Cerebral malaria is a clinical manifestation of the brain during Plasmodium falciparum infection, which may lead to fatal outcomes if left unattended or delayed in therapeutic management. It is often accompanied by multi-organ complications such as renal failure, respiratory distress, jaundice, severe anemia etc., further raising the degree of mortality. Over the years, the management of severe and cerebral malaria has improved radically but still the mortality rate in severe malaria is worrysome. An extremely uncommon case is demonstrated here, which is a classical illustration of malarial death due to CM and multi-organ dysfunction; complicated due to an episode of Oleander poisoning amidst. Falciparum malaria can have myriads of clinical presentations which may co-exist with other pathologies which is challenging for the clinicians, therefore, a high degree of suspicion followed by early diagnosis of malaria, may be more frequently pronounced in healthcare settings in malaria endemic areas to improve overall outcome and better management of malaria control programs.

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