Abstract

Koraput town, Odisha and the plateau peripheries is core malaria endemic region of India, Is well known for high drug resistance, year round obstinate manifestation and re-emergence of mutants. OMARIA (Odisha Malaria Research Indigenous Attempt) a field level effort (1997-2012) to Fight Malaria at Home led to a new anti-malaria. In dist., Koraput poly infestations with cross infections are quite common. There were no roads; no power; only natural stream water. Distances were covered on foot. Availability of pathology investigation tools and human resources were nonexistent. Therefore, neo ways and means were innovated to differentiate distinctions (clinic level) in such disconnected remote of the tropical-moist lush afforested rural India. Clinical conditions were varied and challenging. Observing the tongue and deciding the pathology, the diagnosis and the prognosis was attempted as choice tool (long period {>decadal use} multi-disciplinary team based approach).

Highlights

  • Clinicians of yore used to take the condition of the tongue into consideration, which due the advent of diagnostic industrialized tools has fallen into disuse [1,2]

  • Transmission gets to be continuous. This called for “Fight Malaria at Home”, with a home makeable, hand makeable, rural medicine known as OMARIA’ - Odisha Malaria Research Indigenous Attempt [2]

  • We report clinical aspects pertaining to the buffy coat on the tongue

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Summary

Introduction

Clinicians of yore used to take the condition of the tongue into consideration, which due the advent of diagnostic industrialized tools has fallen into disuse [1,2]. Even in the past the visual appearance of the tongue and or the fossa was never used to make any assessment vis-à-vis malariasis and or concurrent infections\infestations. We report clinical aspects pertaining to the buffy coat on the tongue. Patients having only malaria and no other underlying infection or infestation presented a clear crimson tongue, (Figure 1).

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