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Journal of Forensic
Medicine and Toxicology
(International Edition)
A peer Reviewed Journal Dedicated to the
promotion of all branches of medicine and
science useful in the administration of justice.

 

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STUDY OF SUDDEN DEATH DUE TO MALARIA IN MANGALORE – A MALARIA ENDEMIC ZONE IN SOUTH INDIA

Prateek Rastogi1, K.R. Nagesh2, Tanuj Kanchan3, Ritesh G. Menezes1, P.P. Jagadish Rao 3

 
 
 
 

Abstract:
Malaria is one of the most common infectious diseases and an enormous public health problem. According to the World Malaria report 2008, about 247 million malaria cases were present worldwide among 3.3 billion people at risk in 2006, causing nearly a million deaths. This autopsy based retrospective study was carried out at Kasturba Medical College, Mangalore. Autopsy records of the cases autopsied during September 2004 to August 2008 were reviewed and cases confirmed of malaria after histopathological examination were included in the study. Out of 2515 cases autopsied during the study period, sudden death was reported in 274 cases, out of which five cases were confirmed as of sudden death due to malaria. The histopathology examination revealed infiltration of acute and chronic inflammatory cells with numerous parasitized RBCs containing malarial pigment in the visceral organs. Fatality due to malaria is seen even with good diagnostic facilities and treatment, especially in developing countries like India. Importance of complete autopsy and histopathological examination in identifying malaria related mortality is stressed.

 
 
 
 

Keywords:
Sudden death; Malaria; Autopsy

 
 
 
 

References:

  1. World Malaria Report 2008.available online at www.who.int/malaria/wmr2008/malaria2008.pdf

  2. Raghuram M. Malaria remains the scourge of people in Mangalore during Monsoon. The Hindu, 18th July 2007. Avialable online at http://www.thehindu.com/2007/07/18/stories/2007071860670300.htm

  3. Rastogi P., Karki R.K., Disseminated malaria-Case Report. Indian Internet Journal of Forensic medicine & Toxicology 2009 (in press).

  4. Menezes R.G., Kanchan T., Rai S., et al. An autopsy case of sudden unexplained death due to malaria. J Forensic Sci 2009 (in press).

  5. Kasper D.L., Braunwald E., Fauci A.S., Hauser S.L., Longo D.L., Jameson J.L., Infectious diseases. Harrison’s Principles of Internal Medicine. 16th ed. Vol I. USA: Mc Graw Hill companies, 2005; pp 218–32.

  6. Gilles H.M., Pathology of Malaria. Available online at www.aifo.it/english/.../malaria/6-Pathology% 20of%20malaria.pdf

  7. Cotran R.S., Kumar V., Collins T., Infectious diseases. Robbins Pathologic basis of disease. 6th ed. Noida: Thomson Press Ltd, 2000 ; pp 389–391.

  8. Malaria in Mangaluru. Avaiable online at http://www.malariasite.com/malaria/MalariaIn Mangalore.htm
     

 
 
 
 

Authors:

1 Associate Professor, Dept. of Forensic Medicine, Kasturba Medical College (Manipal University), Mangalore, India
2 Associate Professor, Dept. of Forensic Medicine, Fr. Muller Medical College, Mangalore, India
3 Assistant Professor, Dept. of Forensic Medicine, Kasturba Medical College (Manipal University) Mangalore, India

Corresponding Author:

Dr.Prateek Rastogi
MBBS, MD, PGDMLE, PGDCFS, PGCMNCPA, PGCTM
Associate Professor
Dept. of Forensic Medicine & Toxicology
Kasturba Medical College, Mangalore, India
Affiliated to Manipal Academy of Higher Education
Email : prateek.rastogi@manipal.edu
rastogiprateek@rediffmail.com
 

 
     
     
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Journal of Forensic Medicine and Toxicology,
Dept. of Forensic Medicine & Toxicology, All India Institute of Medical Sciences,
New Delhi, INDIA.