Clinical and Demographic Profile and Outcome of Adult Patients with Malaria Including Complicated Cases with Focusing on Cerebral Malaria, Hepatic and Renal Impairment Admitted in Al Gamhouria Teaching Hospital and Attending a Private Clinic in Aden City - Southwest Yemen

O. D. GABALI, M.D.
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Abstract

Background: Malaria is a major health threat in Yemen, and it is the most common and widely prevalent life-threatening infectious disease in tropical and subtropical regions where it causes high rates of morbidity and mortality. Aim of Study: This study aimed to describe the clinical and demographic profile, and outcome of patients with malaria including complicated Cases with focusing on cerebral malaria, hepatic and renal impairment admitting in Al-Gamhouria Teaching Hospital and attending a private clinic Aden City in Southwest Yemen. Patients and Methods: It was a prospective study, a total of 30 malaria patients >15 years of age who presented in Al Gamhouria Teaching Hospital and a private clinic in Aden City Southwest of Yemen, over a period of one year, Between (June 2022to June 2023), rapid diagnostic test used for malaria diagnosis, clinical examination and other laboratory tests to identify severe malaria complications with focusing on cerebral malaria, hepatic and renal impairment were performed at the hospital and the clinic. Results: During the study period, 30 patients were enrolled, (83%) of cases were male while (17%) being female, mean age was (30 – 15.2) years, (50%) of patients belonging to the age group of (26-35) years, (80%) came from rural area while (20%) came from urban area, Fever was the most common symptoms of malaria (93%) cerebral malaria was the most common complication (30%), recovered patients was (83%) while dead patients (17%). Conclusion: This study concluded that the majority of patients were male and came from rural area, fever was the most common symptoms while cerebral malaria was the most common complication.
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也门西南部亚丁市 Al Gamhouria 教学医院和一家私人诊所收治的疟疾成人患者(包括并发症病例,重点关注脑疟疾、肝功能和肾功能损伤)的临床和人口学概况及治疗结果
背景:疟疾是也门的主要健康威胁,也是热带和亚热带地区最常见和最普遍的危及生命的传染病,在这些地区发病率和死亡率都很高。研究目的:本研究旨在描述在也门西南部亚丁市 Al-Gamhouria 教学医院和一家私人诊所就诊的疟疾患者(包括复杂病例,重点是脑型疟疾、肝肾功能损害)的临床和人口学特征以及治疗结果。患者和方法:这是一项前瞻性研究,在一年时间内(2022 年 6 月至 2023 年 6 月),共有 30 名年龄大于 15 岁的疟疾患者在 Al Gamhouria 教学医院和也门西南部亚丁市的一家私人诊所就诊,在医院和诊所进行了用于疟疾诊断的快速诊断测试、临床检查和其他实验室测试,以确定严重的疟疾并发症,重点是脑疟疾、肝功能和肾功能损害。研究结果在研究期间,共登记了 30 名患者,其中(83%)为男性,(17%)为女性,平均年龄为(30 - 15.2)岁,(50%)的患者属于(26-35)岁年龄组,(80%)来自农村地区,(20%)来自城市地区,发热是最常见的疟疾症状(93%),脑疟疾是最常见的并发症(30%),康复患者占(83%),死亡患者占(17%)。结论这项研究的结论是,大多数患者为男性,来自农村地区,发烧是最常见的症状,而脑型疟疾是最常见的并发症。
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