Severe Falciparum Malaria | WHO Criteria

Age of patient

Gender of patient

Body weight

Rectal temperature

Systolic blood pressure

Are the extremities cold and clammy?

Blantyre coma score(enter 0 to 6)

Glasgow coma score(enter 3 to 15)

Number of seizures observed within 24 hours

Did seizures cease with body cooling?

Does the patient have evidence of pulmonary edema?

Is the patient in respiratory distress, without pneumonia?

Is the patient very weak and unable to sit or walk?

Is there a neurologic explanation for the weakness other than malaria?

Urine output after adequate rehydration

Does the patient show spontaneous bleeding from gums, nose or other sites?

Does the patient prolonged PT and PTT, low fibrinogen, low platelet count, and positive test for fibrin split products?

Hematocrit(enter from 0 to 100)

Hemoglobin

Is the degree of anemia explanable by nutritional deficiency, thalassemia or hemoglobinopathy?

Number of P. falciparum malarial parasites, of blood

Whole blood glucose

Arterial pH

Plasma bicarbonate

Creatinine

Total bilirubin

Is hemoglobinuria present?

Can the hemoglobinuria be explained by hemolysis due to drugs or inherited enzyme deficiency?

Has the patient had a splenectomy?

Is the patient pregnant?

Is the patient immunosuppressed?

Has the patient been exposed to falciparum malaria before?

Was the last exposure many years ago?