Table 2. Comparison of complication rates in P. vivax versus P. falciparum infections, Orakzai Agency, Pakistan, 2011–2013a.
Complications | Case definitionb | No. (%) P. vivax cases, n = 121 | Odds ratio (CI) | p value | No. (%)P. falciparum cases, n = 21 | Odds ratio (CI) | p value |
---|---|---|---|---|---|---|---|
Jaundice | Plasma or serum bilirubin >50 mM (>3.0 mg/dL) and parasite count >100, 000/μL | 6 (5.0) | 3.5 (0.7–17.9) | 0.102 | 3 (14.3) | 11.3 (1.7–72.4) | 0.017 |
Hypoglycemia | Blood or plasma glucose concentration <2.2 mM (<40 mg/dL) | 12 (9.9) | 2.9 (1.0–8.5) | 0.036 | 1 (4.8) | 1.3 (0.1–11.9) | 0.579 |
Decompensated Shock | Systolic blood pressure <70 mm Hg in children and <80 mm Hg in adults with evidence of impaired perfusion (cool peripheries or prolonged capillary refill) | 64 (53.0) | 21.0 (9.0–48.6) | <0.001 | 9 (42.9) | 14.0 (4.4–44.3) | <0.001 |
Multiple convulsions | Generalized seizures (particularly in children), twitching of a digit, repetitive jerky eye movements with deviation, or increased salivation | 10 (8.3) | 2.4 (0.7–7.2) | 0.092 | 2 (9.5) | 2.8 (0.5–15.4) | 0.232 |
Hyperparasitaemia | P. falciparum parasitaemia >10% of total red cells or lower parasitaemias in case of P. vivax | 7 (5.6) | 8.4 (1.0–69.3) | 0.021 | 1 (4.8) | 6.8 (0.4–113.9) | 0.247 |
Anemia | A Hg concentration <5 g/dL in children or <7 g/dL in adults together with a parasite count >10,000/μL | 12 (9.9) | 2.4 (0.8–6.6) | 0.065 | 4 (19.0) | 5.1 (1.3–20.2) | 0.028 |
Hyperpyrexia | Body temperature >38°C | 10 (8.3) | 1.2(0.5–3.3) | 0.382 | 1 (4.8) | 0.7 (0.08–5.9) | 0.609 |
a WHO, World Health Organization; CI, Confidence Interval; Hg, hemoglobin.
b Case definition was based on the WHO criteria [14].