Severe Malaria
Dra. Daily
Severe Malaria
Learning objectives
P falciparum
22 yo male
Work up
High mortality
High mortality
Review
Severe disease
Who is
Epidemiology
What are
Three main syndromes
Table
Plasmodium falciparun
Cerebral Malaria
CM is a vaculopathy
Venule sequestration
CM
Retinopathy
Figure
Figure
Can also measure
Some children
Implications of CM
Clinical implications
Summary
management
hypoglycemia
Complications
Fluid status
Fluid bolus
What do these patients
Figure
Severe brain
High inflammation
How should we treat
Review
Review
Review
Summary
Artesunate
Artesunate
Start with
Quick reminder
Figure
Case 1
Case 1
Case 1
Case 2
Case 2
Impact on care
Severe P knowels
Severe P vivax
Summary of treatment
Case 1
Pre referral treatment
Case 2
Artesunate
Case 3
Brucellosis