How dangerous is hematitis?

Hemolytic malaria is a malignant form of malaria commonly caused by the malaria parasite Plasmodium falciparum. The patient will have a rupture of the red blood cells, leading to anemia, emergency renal failure, jaundice of the mucous membranes … and can lead to death if not treated promptly

1. Clinical symptoms of hematological malaria

1.1. On-on-the-go stage

The on-the-go period lasts from half a day to 1 day, the patient usually has the following manifestations:

  • Cold tremors, fatigue, high fever (exceeding the threshold of 39-40 degrees Celsius)
  • Pale mucous skin
  • Repeated vomiting of bitter, yellowish-green, sometimes vomiting
  • Dark urine, patients who want to urinate several times may feel hot urethra.

1.2. Full-play phase

These symptoms continue to worsen

  • Patients continue malaria tremors or fluctuating fever, each cold tremor usually goes hand in hand with hemolysis, usually lasts 3-4 days, and the fever gradually decreases from the 2nd day.
  • Vomiting of gastric juice and yellowish-green bile accompanied by perishing pain, sweating and possible vomiting.
  • Jaundice and mucous membranes, increased after each malaria, become dark yellow and dark blue if hemolysis is cast and prolonged
  • Urine containing hemolysis: Initially the urine is bright red then quickly turns blackish-brown. Urine for long deposition is divided into 2 layers: The upper layer is brown urine, the grayish-brown sub-sediment layer consists of hemolysis, carthm cell pillars, particle pillars and insular pillars. From Day 2-3 10 days 10 days, the patient is less and less diabetic due to dehydration and then physical renal failure. Between 2 bouts of hemolysis, the urine is less black brown, fading. The duration of hemolysis can be several hours, an average of 3-4 days.
  • Anemia syndrome, hypoxia: Pale mucous skin, dizziness, dizziness, dizziness, rapid pulse, shortness of breath, increased blood pressure, chest pain … The period is 4-7 days.

jaundice treatment

The initial symptom of the disease is jaundice

2. Complications of hematological malaria

2.1. Emergency renal failure

Complications of emergency renal failure are the most common and dangerous complications caused by hematological malaria.

  • Mild type: High hematocrit, low piss but clearance of ure, creatinine, Na+ is normal, usually appears early from the beginning.
  • From the 4th day 10 days 100% of renal renal failure due to renal necrosis, anuria, increased blood ureemia, lower-than-normal ureuria, decreased creatinine clearance.
  • Patients who switch to metabolic acidosis, ure intoxication, increased K+ blood pressure, threaten cardiac arrest.

2.2 Cardiovascular failure, bilular failure

  • Blood pressure drops
  • Fast circuit

2.3 Brain syndrome levels

  • The patient went into a coma
  • Convulsions


Patients may have seizure complications

2.4 Complications in the hepatic bile

  • Acute hepatic impairment

2.5 Death

Complications are the direct cause of death :

  • Emergency renal failure leads to ure, high blood creatinine, high blood K+ and cardiac arrest
  • Convulsive coma
  • Cardiovascular bleeding, hypotension

Hemolyposis causes many serious complications that can lead to death. For cases of plasmodium falciparum infection in severely circulating malaria areas, diseases or repeated relapses should pay attention to the clinical characteristics of the disease for early detection, timely emergency treatment.

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About: John Smith

b1ffdb54307529964874ff53a5c5de33?s=90&r=gI am the author of I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.


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