SYMPTOMS OFMALARIA

ANDDENGUE

Malaria

Signs of malaria

• Enlarged liver or enlarged spleen.

• Malaria blood smears taken at 6 to 12 hours intervals confirms the diagnosis.

Symptoms of malaria • Anemia

• Chills

• Jaundice

• Coma

• Convulsions

• Fever

• Headache

• Jaundice

• Muscle Pain

• Nausea

• Sweating

• Vomiting

Case history A 25 years old man student.

Lives in area of low vicinity.

Comes to hospital with complaints of malaise, myaglia, headache and fever of 4 days duration.

He had an abrupt onset of coldness and chills followed by 1 hour, later by a high fever, headache, nausea and vomiting.

The episode of chills and fever lasted about 24 hours after which he became asymptomatic.

Fever: 103 F

WBC count: 3300 cells/mm3 (4-11000cells/mm3)

Abdominal pain

Differential diagnosis

malaria Typhoid

• Intermittent fever

• Abdominal pain is in the left upper quadrant.

• Headache is usually acute and lasts for the whole duration of illness.

• Enteric fever

• Abdominal pain is in the overall belly.

• Headache is usually dull.

dengue

Symptoms of dengue

• The time between the exposure and onset of symptoms ranges from 3 to 14 days, but most often it is 4 to 7 days.

• Fever

• Headache

• Myalgia ( Muscular or bone pain)

• Nausea and vomiting

• Loss of appetite

• Increased sensation to touch

• Change in taste sensation

• Red and white patchy rashes

• Bleeding from gums and nose

• Decrease in platelet count (Thrombocytopenia)

Case historyA 23 year old man

Comes to hospital with high grade fever, vomiting, severe back pain, body pain, bleeding from gums and nose

Total platelet count: 69000 per microlitre

(150,000-450,000 per microlitre)

He was treated with dextrose solution with multivitamin syrup, Paracetamol, Dompreidone and papaya juices.

references Medicinenet.com Pubmed.com Sciencedirect.com WHO.com Medicineplus.com eHow.com Medicinehealth.com

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