Manoj Kumar Mohapatra1 , Prafulla Kumar Bariha2 , Samir Jena3 , Kshetra Mohan Tudu4 , Ravi Kumar G. N.5 , Sumeet Kumar Sahu6 , Dhiraj Kumar Lenka7 , Gayatri C. 8
BACKGROUND Study on black-water fever in malaria is less common in India. Early diagnosis and treatment can save the life of the patient. Therefore, we studied the clinical features, risk factors and outcome of black-water fever with malaria. METHODS The study was carried out at Department of Medicine, VIMSAR, Burla, Sambalpur, Odisha. All patients of fever with black water fever with in 7 days duration were enrolled investigated for malaria, Biochemical investigations were done, and clinical feature and outcome were analysed. Diagnosis of malaria was done by blood smear and black water fever was diagnosed by ortho-tolidine test. G6PD deficiency test was also done. RESULTS During the study period, 100 patients of malaria were evaluated out of which 10 patients of black-water fever were found. The age group mostly affected was 20- 40 years; among them 60% were male, and 40% were female. 80% of patients were cured and 20% patient died. CONCLUSIONS Among black water fever patients, Plasmodium falciparum was most common cause. It was seen in more than the cases i.e. 60% and Plasmodium vivax species was found in 20% of cases.
