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Cerebral Malaria: Hear before Discharge!

Ambarish Joshi1, Nitesh Gupta1, Pranav Ish1

  • 1Department of Pulmonary, Critical Care and Sleep Medicine, VMMC and Safdarjung Hospital, New Delhi, India.

Indian Journal of Critical Care Medicine : Peer-Reviewed, Official Publication of Indian Society of Critical Care Medicine
|May 22, 2020
PubMed
Summary
This summary is machine-generated.

Cerebral malaria can cause hearing loss, even after patients seem to recover. Early hearing screening before discharge is crucial for detecting and managing this neurological complication.

Keywords:
ChildrenIntensive careMechanical ventilationSurvival to discharge

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Area of Science:

  • Neurology
  • Infectious Diseases
  • Otolaryngology

Background:

  • Cerebral malaria is a severe neurological complication of Plasmodium falciparum infection.
  • Neurological sequelae, including auditory deficits, can occur post-malaria.
  • Hearing impairment may be an underdiagnosed complication in malaria survivors.

Purpose of the Study:

  • To investigate the incidence of hearing impairment in patients recovering from cerebral malaria.
  • To emphasize the importance of audiological assessment before discharge in cerebral malaria cases.
  • To highlight potential long-term neurological deficits following severe malaria.

Main Methods:

  • Case review of patients diagnosed with cerebral malaria.
  • Audiological evaluation including pure-tone audiometry and speech audiometry.
  • Clinical assessment for neurological deficits prior to discharge.

Main Results:

  • A significant proportion of patients exhibited hearing impairment, ranging from mild to severe.
  • Some patients with normal neurological examination showed audiological abnormalities.
  • Hearing deficits were detected even in patients who had seemingly recovered from cerebral malaria.

Conclusions:

  • Hearing impairment is a common and potentially overlooked complication of cerebral malaria.
  • Pre-discharge audiological screening is essential for early detection and intervention.
  • Prompt management of auditory deficits can improve patient outcomes and quality of life.