A case series of Acute Respiratory Distress Syndrome in Children with Plasmodium falciparam Malaria
Shalini Avasthi*, Sunil Taneja**, Ruchi Puri**
Consultant Pediatrician, *Ursula Horsman hospital, Kanpur, ** Madhuraj Hospital, Kanpur, India.
Abstract

Occurrence of Acute respiratory distress syndrome (ARDS) is a relatively rare complication in paediatric patients with malaria. During the time of increase transmission we had three children, from Kanpur city that developed ARDS as a fatal complication of falciparum malaria. In all cases, ARDS was diagnosed by the presence of hypoxia with PaO2 / FiO2 ratio < 200 and bilateral pulmonary infiltration, and by excluding cardiac disease by echocardiography. Treatment with intravenous quinine with early mechanical ventilation was life saving in all the three cases.
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