Chart-7

A 45 year old male presented with fever, chills and rigors.

O/E: Febrile, splenomegaly. 

Laboratory findings: 

Hemoglobin: 11.5 g/dl

Total count: 10,200 cells/cumm

Platelet count: 1 lakh/cumm

Peripheral blood smear:

A. Interpret the findings in the above peripheral smear 

• RBCs are normocytic normochromic. 

• WBCs are normal in number, morphology and distribution. 

• Platelets are reduced in number. 

• Ring forms and gametocyte forms of Plasmodium falciparum seen 

B. What is your diagnosis? 

Plasmodium falciparum malarial parasitemia 

C. Name four complications of this disease. 

1. Cerebral malaria 

2. Black water fever (Acute renal failure) 

3. Algid malaria (hypotension) 

4. Acute pulmonary edema