Features of patients with malaria treated at the Department of Child Health Cipto Mangunkusumo Hospital, Jakarta
Abstract
Background Malaria is endemic throughout the tropical areas of the world. In Jakarta, one of the cities in Indonesia that has been declared to be free of malaria, malaria was found in 1044 patients from 1974 to 1990. All patients were infected in other areas.
Objective To describe the clinical features of malaria in the Department of Child Health, Cipto Mangunkusumo Hospital, Jakarta.
Methods A retrospective study was carried out on all patients with malaria treated at the Department of Child Health, Cipto Mangunkusumo Hospital, Jakarta, from January 1995 to December 2000.
Results There were 10 inpatients and 5 outpatients with malaria eligible in this study. Most patients (13) were boys, and 8 patients aged 5-9 years. We found falciparum malaria in 5, one of which with cerebral malaria, vivax in 3 patients, and mixed infection in 4 patients. In 3 patients, the type of malaria could not be detected. Three out of the referred patients were referred with the diagnosis of leukemia. Fever, splenomegaly, and pale were found in most patients. All inpatients recovered completely on discharge.
Conclusions In malaria-free areas, all patients were infected in other areas and some were referred with misdiagnoses. Malaria should be considered in patients with fever or pale and organomegaly.
References
2. Stanley J. Malaria: the global resurgence of disease, Emerg Med Clio North Am 1997;15:113-55.
3. Kain KC, Keystone lS. Malaria in travellers. Infect Dis Clin North Am 1998;12:267-83.
4. Schellenberg D, Menendez C, Kahigwa E, Font F, Galindo C, Acosta C, et al. African children with maIaria in an area of intense plasmodium falciparum transmission: features on admission to the hospital and risk factors for death. Am J Trop Med Hyg 1999;61:431-8.
5. Pribadi W. Kumpulan makalah simposium malaria. Jakarta: Balai Penerbit FKUI; 1991. p. 57-69.
6. Fitch CD. Malaria. In: Feigin RD, Cherry JD editors. Textbook of pediatrics infectious diseases. 3rd ed. Philadelphia: WB Saunders; 1992. p. 2042-56.
7. Rampengan TH. Malaria pada anak. In: Harijanto PN, editor. Malaria. Epidemiologi, patogenesis, manifestasi klinis dan penanganan. 1st ed. Jakarta: EGC; 2000. p. 249-77.
8. Murphy GS, Oldfiels EC. Falciparum malaria. Infect Dis Clin North Am 1996;10:747-71.
9. Camargo LMA, Ferreira MU, Krieger H, Camargo EPD, Silva LPD. Unstable hypoendemic malaria in Rondonia (Western Amazon region, Brazil): epidemic outbreak and work-associated incidence in an agro-industrial rural settlement. Am J Trop Med Hyg 1994;51:16-25.
10. Laihad Fl, Gunawan S. Malaria di Indonesia. In: Harijanco PN, editor. Malaria: epidemiologi, patogenesis, manifestasi klinis dan penanganan, 1st ed. Jakarta: EGC; 2000. p. 17-25.
11. Tjitra E, Gunawan S, Laihad F, Marwom H, Sulaksono S, Arjoso S, et al. Evaluation of antimalarial drugs in Indonesia, 1981-1995. Bul Penelit Kesehat 1997;25:27-58.
12. White NJ. T he treatment of malaria. N Z Med J 1996;335 :800-6.
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Accepted 2016-11-10
Published 2006-10-30