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Case Reports in Pediatrics
Volume 2016, Article ID 3092130, 3 pages
Case Report

A Child with Severe Malaria Presenting with Acute Surgical Abdomen (Duodenal Perforation)

1Department of General Surgery, Universal College of Medical Sciences, Bhairahawa 32900, Nepal
2Department of ENT, National Academy of Medical Sciences, Kathmandu 44600, Nepal
3Department of Pediatrics, Universal College of Medical Sciences, Bhairahawa 32900, Nepal

Received 19 August 2016; Revised 21 September 2016; Accepted 5 October 2016

Academic Editor: Josef Sykora

Copyright © 2016 Tika Ram Bhandari et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Plasmodium falciparum, the commonest cause of severe malaria in children, is an important cause of mortality in developing nations like Nepal. Duodenal perforation in a case of complicated malaria, although a rare entity, can occur in children. Early diagnosis, proper medical treatment, and early surgical repair can be a lifesaving measure in such cases. Here, we report a case of a 5-year-old male child with falciparum malaria complicated by a duodenal perforation that was successively managed with appropriate antimalarial drugs and early surgical repair.