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Malaria is one of the major public health problems of our country. Around 1.5 million confirmed cases are reported annually by NVBDCP and there are estimated about 20000 deaths annually due to malaria. Severity Assessment and Risk stratification can help reduce this burden of mortality due to malaria. This study was aimed to assess the severity of organ dysfunction in malaria. To estimate the patient risk for mortality and Identification of patients at greater risk of complications. MATERIALS AND METHODS: This hospital based observational study was carried out from October 2012 to Sept 2013, 80 consecutive patients of plasmodium falciparum malaria, diagnosed and admitted in the Department of Medicine, Pt. J.N.M Medical college, Raipur, Chhattisgarh were studied and assessed on variables such as age, sex, vital signs, Hemoglobin, Total Count, Platelet Count, blood urea, serum creatinine, urine output, Serum Bilirubin, Serum glucose, MSS And classification for complicated versus uncomplicated as per WHO Criteria. RESULTS AND CONCLUSIONS: Most patients (76%) were young adult males and presented with fever (100%) and about 1/3 (27%) of patients presented in altered sensorium, there was correlation (P>0.05) between the high malaria severity scores and mortality and also 30% mortality was observed in complicated malaria versus 16% in uncomplicated malaria.

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A 50 year-old lady, was referred to our institute with exertional dyspnea (New York Heart Association functional class II). Her echocardiogram revealed a mobile mass in right atrium moving in and out of right ventricle across tricuspid valve in diastole and systole respectively. Inferior vena cava angiogram confirmed the findings. She then underwent surgical correction and has been asymptomatic on follow up.