title: Cerebral malaria--an analysis of 55 cases.
abstract: This study reflects the clinical pattern, diagnosis and management of cerebral malaria in 55 consecutive patients from Chittagong Hill Tracts. The predominant clinical features were: impaired consciousness with convulsion in a febrile patient with temporary residence in the endemic zone. Younger people were more prone to develop this condition. Thirty two patients (58.18%) were between 18-25 years. A high incidence of cerebral malaria was noted in blood group 'O' (37.5%) and group 'B' (33.33%). The malarial parasite count MPC was not proportional to the severity of the disease. Twenty four patients (43.63%) had malarial parasite count below 100% cumm. Anaemia (63.63%) and Jaundice (34.54%) were common, Splenomegaly (7.27%) was uncommon. Clinical features of cerebral oedema/raised intracranial pressure were not evident. CSF study was unremarkable except for raised pressure in 7 patients (12.65%). Response to intravenous quinine was satisfactory and yet the mortality was 11%.
authors.affiliation: Bangladesh Armed Forces.
authors.forename: A
authors.initials: A
authors.lastname: Waiz
authors.forename: B
authors.initials: B
authors.lastname: Chakraborty
mesh_terms: D000328:Adult; D000818:Animals; D001459:Bangladesh / Q000453:epidemiology; D001927:Brain Diseases / Q000453:epidemiology / Q000469:parasitology*; D006801:Humans; D008288:Malaria / Q000453:epidemiology*; D010963:Plasmodium falciparum