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CASE REPORTS

DOI : 10.7199/ped.oncall.2012.76
   
 
A case series of Acute Respiratory Distress Syndrome in Children with Plasmodium falciparam Malaria
Shalini Avasthi1, Sunil Taneja2, Ruchi Puri2.
1Consultant Pediatrician, Ursula Horsman hospital, Kanpur, India, 2Consultant Pediatrician, 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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