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A Child with Severe Malaria Presenting with Acute Surgical Abdomen (Duodenal Perforation)

Tika Ram Bhandari1, Sudha Shahi2, Rajesh Poudel1

  • 1Department of General Surgery, Universal College of Medical Sciences, Bhairahawa 32900, Nepal.

Case Reports in Pediatrics
|November 16, 2016
PubMed

Insights

Severe pediatric malaria caused by Plasmodium falciparum can lead to rare duodenal perforations. Early diagnosis, antimalarial treatment, and surgical repair are crucial for survival in these complicated malaria cases.

Area of Science:

  • Pediatric infectious diseases
  • Gastrointestinal surgery
  • Tropical medicine

Background:

  • Plasmodium falciparum malaria is a leading cause of child mortality in developing countries.
  • Duodenal perforation is a rare but serious complication of complicated malaria in children.
  • Prompt intervention is vital for managing this life-threatening condition.

Purpose of the Study:

  • To report a case of Plasmodium falciparum malaria complicated by duodenal perforation in a child.
  • To highlight the successful management through antimalarial therapy and surgical repair.

Main Methods:

  • A case report of a 5-year-old male child diagnosed with falciparum malaria.
  • Clinical management included appropriate antimalarial drugs.
  • Surgical repair of the duodenal perforation was performed.

Main Results:

  • The child presented with Plasmodium falciparum malaria and duodenal perforation.
  • Successful treatment with antimalarial medication and timely surgical intervention.
  • The patient recovered following the combined therapeutic approach.

Conclusions:

  • Duodenal perforation, though rare, is a significant complication of severe pediatric malaria.
  • A multidisciplinary approach involving antimalarial treatment and early surgical repair can be lifesaving.
  • This case underscores the importance of considering gastrointestinal complications in severe malaria cases.

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