Subdural hematoma in patient with Cerebral malaria - Diagnostic dilemma in emergency department of resource limited setting

Résumé fourni par la source

Background: Malaria is still endemic in most African countries making is a significant threat to global public health. Here we describe a patient with malaria having Massive Subdural hematoma. Case: The case reports a 17 years old male presented with severe malaria after he presented with one week history headache, generalized body malaise, high grade fever followed by one day generalized tonic clonic seizure and loss of consciousness. Urgent CT of brain showed massive subdural hematoma which requires referral to referral hospital where operation was done there. Currently the patient is awake and started previous life. Conclusion: This case demonstrated the diagnostic challenge in the emergency room, since the reduced level of mentation may be explained solely by cerebral malaria, but brain CT revealed a subdural hematoma that improved with surgery. What if the subdural was overlooked in a resource-limited context without imaging? Malaria would be the cause of death, correct?

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