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Autopsy Finding in Severe Malaria – a Case Report

06 May

Authors:

Dedi Afandi*, Budi Sampurna**,Inge Sutanto***, J. Wirasmi Marwoto****, Nurjati Chairani S****, Sutisna Himawan****,Rawina W***, Ivan Riyanto W*****

* Department of Forensic Medicine and Medico legal, Faculty of Medicine, University of Riau, Pekanbaru, Indonesia., ** Department of Forensic Medicine and Medico legal, Faculty of Medicine, University of Indonesia, Jakarta, Indonesia, *** Department of Parasithology, Faculty of Medicine, University of Indonesia, Jakarta, Indonesia., ****Department of Anatomical Pathology, Faculty of Medicine, University of Indonesia, Jakarta, Indonesia.,***** Sixth year medical student, Faculty of Medicine, University of Indonesia

Abstract : Severe malaria, caused by Plasmodium falciparum infection, has a high mortality rate and the main cause of death in malaria. Since clinical autopsy is unpopular in Indonesia, autopsy examination in malaria case is rarely done. Forty three years old woman come from non endemic area was reported dead because of severe malaria.  Diagnosis was concluded from autopsy, histopathology, and toxicology.

Abstrak : Malaria berat yang disebabkan oleh infeksi Plasmodium falciparum memiliki angka mortalitas yang tinggi dan merupakan penyebab utama kematian pada malaria.  Pada kematian akibat malaria jarang dilakukan pemeriksaan otopsi karena belum populernya otopsi kinis di Indonesia. Dilaporkan seorang perempuan berusia 43 tahun dari daerah non endemik dengan penyebab kematian malaria berat. Diagnosis ditegakkan melalui otopsi, pemeriksaan histopatologi, dan toksikologi.

Keywords: Autopsy findings, severe malaria, Plasmodium falciparum

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