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Malaria is a type of fever which is a major cause of
morbidity in the developing countries. Despite world-wide
attempts to eradicate this disease it continues to be a
big problem.
Caused by bite by female
Anopheles mosquito which trasmits
four types of parasites of genus Plasmodium - vivax,
ovale, falciparum, malariae.
Plasmodium vivax is the most common and the Plasmodium
falciparum is the most deadly.
Malaria is charactirised by relapsing fever with shaking
chills, prostration, anaemia, and enlarged spleen.
Fever paroxysms are characterised by three phases:
Cold phase - lasting for 1-2 hours,
during which sudden feeling of cold is followed by
shivering, then intense rigors.
Hot phase - lasting for 3-4 hours, when there are hot
flushes with headache and exhaustion as temperature
reaches its peak.
Wet phase - lasting for 2-4 hours, when profuse sweating
occurs as temperature returns to normal.
Fever paroxysms occur
every 48 hours in case of P.vivax, P.ovale,
every 72 hours in case of P. malariae.
In case of P.falciparum periodic fever paroxysms are not
seen rather irregular intermittent fever or daily
paroxysms may be seen.
Other symptoms - nausea,
vomiting, cough, joint pains, abdominal and joint pain.
Pallor and jaundice.
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