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Black water fever It s the most severe complication of chronic malaria caused by plasmodium falciparum. It is seen commonly in those who have taken the antimalrial treatment irregularly or are G6PD deficient.
It is called so due to production of black, dark brown urine owing to intravascular hemolysis
Clinical features
Treatment
Fluids by mouth and iv glucose if vomiting is present. High carbohydrate diets if diuresis occurs.
Antimalarial therapy Antipyretics Blood transfusion to correct the anemia Prednisolone to prevent further hemolysis Treat acute renal failure accordingly.
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