Cerebral Malaria Complicated by Blindness, Deafness and Extrapyramidal Tract Manifestation
P C Manyike1, C Okike2, N B Onyire1
1Department of Pediatrics, Federal Teaching Hospital, Abakaliki, Ebonyi, Nigeria.
Abstract:
Cerebral malaria is a severe manifestation of a parasitic infection caused by Plasmodium falciparum. The sequelae of this disease such as blindness, deafness, loss of motor function could be emotionally traumatic and physically disabling. We, therefore, present this case of an 8-year-old boy who presented with high-grade intermittent fever associated with multiple convulsions and prolonged coma. He regained consciousness after 12 days of treatment with intravenous quinine but was found to have blindness, sensory-neural deafness and extrapyramidal sign. This extrapyramidal sign regressed following treatment with chlorpromazine. He also regained his sight and auditory function before he was discharged though not completely. This report is aimed at emphasizing these rare complications of cerebral malaria as well as reminding clinicians working in malaria endemic areas of the world on the need for early diagnosis and prompt treatment.
Insights
Cerebral malaria, a severe Plasmodium falciparum infection, can cause lasting disabilities like blindness and deafness. Prompt diagnosis and treatment are crucial to prevent these rare but devastating neurological complications.
Area of Science:
- Neurology
- Infectious Diseases
- Parasitology
Background:
- Cerebral malaria is a severe complication of Plasmodium falciparum infection.
- Neurological sequelae, including sensory and motor deficits, can be permanent and disabling.
Purpose of the Study:
- To highlight rare neurological complications of cerebral malaria.
- To emphasize the importance of early diagnosis and prompt treatment in endemic areas.
Main Methods:
- Case presentation of an 8-year-old boy with severe cerebral malaria.
- Treatment with intravenous quinine followed by chlorpromazine for extrapyramidal signs.
Main Results:
- The patient experienced blindness, sensory-neural deafness, and extrapyramidal signs after regaining consciousness.
- Extrapyramidal signs resolved with chlorpromazine; partial recovery of sight and hearing occurred before discharge.
Conclusions:
- Cerebral malaria can lead to severe, though sometimes partially reversible, neurological deficits.
- Vigilance for rare complications and timely intervention are essential for clinicians in malaria-endemic regions.
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