In the Sub-Saharan regions, resistance is common. All ages of red cells are affected leading to the extreme severity of the disease and hemolysis. Due to an exoerythrocytic cycle, there are hypnozoites in the liver cells which may cause relapses unless treated with primaquin 9. An infected foreign body is a common cause for foul smelling vaginal discharge in prepubertal girls. Although very rare, tumours of the vagina can cause either a bloody or clear discharge As a sexually transmitted pathogen, the importance of this cause is in the fact that it points to sexual abuse.
Vulvovaginal infection causes discharge.
Immunodeficiency or diabetes is suspected in previously well children 10. It is only an indicator of the severity of inflammation and is not a diagnostic finding. Again this is an indicator of inflammation only A biopsy showing granulomas is diagnostic. These are non-caseating and involve all layers of the gut wall 11. It is usually low due to the consumption Coagulation indices are raised due to deficient clotting factors D dimers are fibrin degradation products and are typically raised in DIC Thrombocytopenia results from the consumption 12.