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Journal of Tropical Pediatrics Advance Access published online on June 12, 2009
Journal of Tropical Pediatrics, doi:10.1093/tropej/fmp050
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© The Author [2009]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Case Report

Myocardial Dysfunction in Severe Falciparum Malaria

Poddutoor Preetham Kumar, Chirla Dinesh Kumar, Farhan A. R. Shaik and Satish Babu Ghanta

Rainbow Children's Hospital & Perinatal Centre, Banjara Hills, Hyderabad 500034, India

Correspondence: Dr Preetham Kumar, Rainbow Children's Hospital, Road No 10, Banjara Hills, Hyderabad 500034, India. Tel.: +91 9848030734, Tel.: +91 4027895050; Fax: +91 4027899090. E-mail: <drpreethamp{at}gmail.com>.


  Abstract

Severe malaria causes multiorgan dysfunction, which is the predominant reason for mortality in these children. Cardiac enzymes have been elevated and cardiac involvement has been suspected in some of these children, however, clear cut echocardiographic evidence for it was not possible. There were isolated reports of myocardial dysfunction in malaria in adults but none in children. We present two such children with cardiac involvement and myocardial dysfunction.

Key Words: severe malaria • cardiac dysfunction • Falciparum malaria


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