Cerebral Malaria—An Afebrile Case with Epileptiform Convulsions
نویسنده
چکیده
was dropped by the gentleman atfthis hospital, but he could not give any history of the case except that the person was a_ resident of Darjeeling and occasionally stayed at Siliguri (a highly endemic malarious place on the foot of the hills) overnight. The patient was admitted in a state of complete unconsciousness with pupils contracted, reflexes present and equal on both sides, temperature 98?F., pulse 100, respiration 32, stertorous breathing and froth coming out of the mouth. His limbs were flaccid; the spleen and liver were not enlarged. Hardly was our examination over when the patient had an epileptiform fit, characterized by tonic spasm of the muscles with conjugate deviation of the head and eyes to one side, eyes open, pupils dilated, cornea insensitive, upper extremities flexed and adducted, lower extremities extended and face cyanosed. This stage was followed by clonic spasm, and then complete relaxation occurred. The whole seizure lasted for about three minutes. Similar fits were at first noticed every 10 to 15 minutes, but gradually the interval became more and
منابع مشابه
Afebrile Cerebral Malaria
To the Editor, The Indian Medical Gazette. Sir,?Some time ago in your columns there was a report of a case of cerebral malaria with a temperature below 100?F. Recently I have come across a similar case where the effects of malarial intoxication manifested themselves prior to any rise of temperature. The patient was a girl who had had an attack of convulsions an hour before I saw her. The convul...
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