Haematological and coagulation profile in acute falciparum malaria

The haematological and coagulation profile of 30 cases of acute falciparum malaria were studied. Anaemia, mostly normocytic, normochromic, was observed in 86.7% of cases majority of whom had complications. Severe anaemia (HB < 6gm.) observed in 10% of cases was associated with 100% mortality. Leucocytosis and leucopenia were observed in 13.3% and 6.6% of cases respectively. 90% of cases had thrombocytopenia, the lowest count recorded being 26,000/- cmm. 16.7% of cases had evidence of intravascular coagulation but manifested as generalised bleeding in only one case. Bone marrow aspiration done in 10 cases revealed no abnormality, except for falciparum parasites observed in 2 cases.