Falciparum malaria in children

Forty three cases of Falciparum Malaria in children are reported to draw attention to the second resurgence of malaria since the start of the malaria eradication [currently control] programme in Pakistan. The clinical features, laboratory findings and response to treatment are discussed. Clinical features are varied but fever with anaemia, splenomegaly, dark coloured urine and meningeal or intracranial irritation signs are highly suggestive of falciparum malaria in children. The study has shown clinical resistance of plasmodium falciparum to amodiaquine, chloroquine and Fansidar a combination of chloroquine and pyrimethamine