Kolkata: Some cases of malaria without fever have been reported from at least two private hospitals in Kolkata, which, the doctor said, rarely and surprisingly because these patients have very severe symptoms.
While one of the patients malaria in the hospital has a yellow disease without fever, others experience kidney failure and need ventilation and others have covid along with malaria but there is no temperature.
All of these patients are tested positive for Plasmodium Vivax, malaria parasites that rarely attack kidneys or lungs.
Some experts believe this can be a result of parasitic mutations that can now target newer organs.
While the plasmodium falciparum malaria affects the liver, kidneys, brain and lungs and VIVAX varieties largely affect the hematopoietic system (blood), liver and spleen.
When a 35-year-old boy looking for a ticket to enter the city hospital last week with malaria’s ‘palsmodium vivax’, the doctor was stunned to find he did not have a temperature or even the history of fever over the past seven days.
Symptoms especially severe body pain and weakness.
Two other patients with ‘full cerebral malaria’ suffer from rigor – the most common malaria symptoms – and experience very light intermittent fever.
But other patients are accepted with coughing, breath pressure and thigh pain – symptoms that are rarely associated with malaria.
“None of these patients experience accuracy or high fever which is the first indicator of malaria.
Instead, the symptoms are unusual but very severe,” said Belle Vue Internal Medicine Consultant Rahul Jain.
‘No malaria fever that can indicate a weak positive immune system for Covid.
However, two have kidney failure and jaundice and one must be placed in ventilation, even though he is now out of it.
“This phenomenon is called” rare presentation of general diseases “, where traditional symptoms are overshadowed by unusual or new ones, said the RN Tagore International Institute of Cardiac Sciences (RTIICS) intensivist Sauren Panja.” In rare cases, malaria patients have symptoms Severe who houses fever.
In some cases, because the severity of other symptoms, patients fail to pay attention or feel the light temperature.
We have found such two-three patents for the past few weeks in RTIICs, “Panja said.
Usually young and very old people suffer from unusual malaria symptoms, Panja said …” Often, the elderly failed to pay attention to the stiffness.
Younger patients, on the other hand, tend to feel lethargic but do not suffer from fever or hard, “he said, adding that the symptoms of the exchange of falciparum and vivax are worrying.” This can mislead treatment at the initial stage because doctors will not be ready to protect organs such as kidneys or lungs in Vivax patients, “he said.
According to the Director of Pulmonology of the CMRI Hospital, Raja Dhar, the absence of fever in malaria patients can even signify a weak immune system.” Body temperature is the result of an immune response to infection.
It could be weak because of co-morbidity, which causes fever even if malaria occurs.
But it also means that malaria attacks will be severe without strong immune responses with severe co-morbidity opportunities, which may occur, “he added.
Kok: a malaria case without fever separating worries of mutating parasites
