GAS230
|
Mbale
|
Plan C
|
Convulsions
|
Resolved
|
Unlikely
|
Lethargic at admission and suffered repeated seizures/status (controlled by IV diazepam) after admission leading to worsening conscious level. Previous history of seizures prior to admission (in this illness). Severe malaria anaemia: received 1 unit of whole blood.
|
GAS263
|
Mbale
|
Slow
|
Suspected Pulmonary oedema
|
Fatal
|
Unlikely
|
Severe pneumonia and gastroenteritis. Left-sided pleural effusion on x-ray. Lethargic at admission. Had worsening difficulty in breathing needing supplemental oxygen. Died about 36 h into admission.
|
GAS002
|
Kilifi
|
Plan C
|
Cardiovascular collapse/heart failure
|
Fatal
|
Probable
|
Comatose, hypoglycaemic and in shock at admission. Fluid boluses x 2: post-resuscitation echo showed “worsening biventricular function, tricuspid regurgitation and right atrial enlargement” treated with frusemide intravenously. Died 13 h into admission: cause of death: heart failure.
|
GAS003
|
Kilifi
|
Plan C
|
Cardiovascular collapse
|
Fatal
|
Unlikely
|
Severe pneumonia and gastroenteritis and had prolonged capillary refilling and a weak pulse at admission. Required supplemental oxygen at admission but did get a bolus. Died 1-h post-admission following cardiovascular collapse. Blood culture: Haemophilus influenzae.
|
GAS004
|
Kilifi
|
Slow
|
Convulsions
|
Resolved
|
Unlikely
|
Comatose and hypoglycaemic at admission. Suffered seizures on day 3 of admission. Admission history suggested seizures (in this illness) prior to admission. Seizures were controlled with I.V phenobarbitone
|
GAS007
|
Kilifi
|
Slow
|
Cardiovascular collapse
|
Fatal
|
Unlikely
|
Comatose at admission, very sick needing supplemental oxygen (saturations 52%) by mask and had hepatomegaly 4 cm BCM. Suffered seizures following admission which were controlled with I.V phenytoin. Died about 10 h into admission following cardiac arrest that was preceded by respiratory arrest.
|