Case study of misdiagnosis of malaria in primary care set-up leading to rapid complications and death in a high malaria endemic district of India

[...]fever cases mixed and contradictory results i.e. negative blood slide with sequential RDT positive results should be evaluated meticulously on a case to case basis with proper history. [...]these likely persistent background conditions might have contributed to rapid deterioration and complicat...

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Published inJournal of vector borne diseases Vol. 57; no. 4; pp. 378 - 380
Main Authors Singh, Raj, Kumar, Gaurav, Karlekar, Rajesh, Majhi, Jitendra, Singh, O
Format Journal Article
LanguageEnglish
Published India Wolters Kluwer - Medknow Publications 01.10.2020
Medknow Publications and Media Pvt. Ltd
Medknow Publications & Media Pvt. Ltd
Wolters Kluwer Medknow Publications
Subjects
Anemia
Case studies
Complications and side effects
Diagnosis
Diagnostic Errors
Endemic Diseases
Fever
Humans
India - epidemiology
Infections
Malaria
Malaria - diagnosis
Malaria - epidemiology
Malaria, Falciparum - epidemiology
Medical research
Medicine, Experimental
Microscopy
Parasites
Population
Primary Health Care
India
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Summary:[...]fever cases mixed and contradictory results i.e. negative blood slide with sequential RDT positive results should be evaluated meticulously on a case to case basis with proper history. [...]these likely persistent background conditions might have contributed to rapid deterioration and complications leading to death. Currently, microscopy is the gold standard for malaria diagnosis which is an effective and inexpensive method7, However, its sensitivity is poor in case of low parasitemia or if carried out by inexperienced personnel especially in PHC setting. [...]with the availability of newer advanced technologies for malaria diagnosis we should exercise our option to adopt these technologies and aid in malaria diagnosis in endemic areas8. [...]it is high time that the use of such techniques should be enhanced in highly malaria endemic regions of the country so that malaria cases are not missed and are subjected to proper timely treatment.
ISSN:0972-9062
DOI:10.4103/0972-9062.313962