training module for medical officers primary health centre - NVBDCP

5.3 Difference between severe malaria in adults and childrenSigns or symptoms Adults ChildrenAnaemia Common Very commonConvulsions Common Very commonPre-treatment hypoglycaemia Less common CommonMetabolic acidosis Less common CommonHistory of cough Uncommon CommonCerebral malaria Common Common in older childrenJaundice Very common UncommonRenal failure Common Less commonPulmonary oedema, ARDS Less common RareDuration of illness before severe features Longer (5-7 days) Shorter (1-2 days)Resolution of coma Longer (2-4 days) Shorter (1-2 days)Errors in diagnosis Failure to examine blood film Errors in microscopic diagnosis / RDT Failure to take history of movement Failure to realize severity of the disease Faulty differential diagnosis23