SlideShare ist ein Scribd-Unternehmen logo
1 von 41
Case3.2

Done by: Maryam AL-Qhatany.
Learning Objectives
Malaria
1Definition of malaria.
2Types of parasite causes malaria .
3Life cycle of different malaria parasite+
Pathogenesis
4Symptoms and sign of malaria.
5Investigation of malaria .
6 Differential diagnosis
7 treatment and prevention of malaria .

diagnosis
Introduction
Approximately 300 million
people worldwide are affected
by malaria and between 1 and
1.5 million people die from it
every year. Previously extremely
widespread, the malaria is now
mainly confined to Africa, Asia
and Latin America
Malaria
is an infectious disease caused by a
parasite, (called Plasmodium), which
is transmitted via the bites of
infected mosquitoes , that infect red
blood cells in the human body.
Causes
Malaria is caused by a type of
microscopic parasite that's
transmitted most commonly by
mosquito bites(female
Anopheles mosquito).
Plasmodium ovale (P.o).
Plasmodium malariae (P.m).

Plasmodium vivax (P.v.).
Plasmodium falciparum (P.f).
This is the rarest of all the malaria types and is
mostly found in Ghana, Liberia, Nigeria and the
tropical West African region

Symptoms:

fatigue, diarrhoea, bouts of fever and chills
incubation period:
This type of malaria is not as wide spread as the
other types and is known to have less than 1
percent infections in the Indian subcontinent.

Symptoms:

high fever and chills.
incubation period:
It has the widest distribution around the globe.
Approximately 60% of infections in India are caused by P.v.
Although it seldom causes death or other serious
problems, it can still cause major illness

Symptoms:
fatigue, diarrhoea, bouts of fever and chills. Flulike symptoms.

incubation period:
(P.f).
The plasmodium parasite is recognised as the
most lethal parasite that causes most infections
and deaths related to malaria

Symptoms:

incubation
period:

fatigue, dizziness, abdominal pain, aching
muscles, enlarged spleen, sore back, joint pain,
vomiting, nausea, fever, headache.
+
Pathogenesis
Pathogenesis
numerous known
and unknown waste
substances, such as
red cell membrane
products, hemozoin
pigment, and other
toxic factors
headache, fever, nausea and
vomiting, diarrhea, anorexia,
tiredness, aching joints and
muscles, thrombocytopenia,
immunosuppression, and central
nervous system manifestations .

activate macrophages and
endothelial cells to secrete
cytokines and inflammatory
mediators such as tumor necrosis
factor, interferon-Îł and other
factor.
hemolytic anemia

destruction of red blood
cell

Clot
(blood in stools)

adhesion of red blood cell on wall of
blood vessel
Chills

Fever

early stages
Sweats
Headache
Fatigue

Nausea
vomiting
Other common symptoms:

Dry cough
Muscle and/or back pain.
Jaundice
Hepatomegaly

Fever
Hemolytic Anaemia
Diagnosis
Dr. ask the patient number of
questions concerning:
•Current symptoms.
•Medical conditions.
•Family medical history.
•Current medications.
•Recent travel history.
Laboratory
diagnosis

identification of
malaria parasite or
its antigens/products
in the blood of the
patient.
Microscopy

Most
Malaria parasites are recognizable by
their physical features and by the
appearance of the red blood cells.
Other tests:
Polymerase chain reaction
(PCR).

Serology
Immunologic tests
•The flu (influenza).
•Common cold .
•Meningitis.
•Typhoid fever.
•Dengue fever.
•Bacteremia/septicemia (infection in blood)
•Hepatitis.
•Viral gastroenteritis .
•Yellow fever (disease typically transmitted by
mosquitoes).
Treatment
And
prevention
treatment:

IF
Early

Delay

cure
severe

serious effects of
malaria can be
prevented

fatal
disease
The specific malaria treatment recommended will depend on:

•The type (species) of the infecting parasite.
•The severity of malaria symptoms .
•The patient's age .
•Any other illnesses or conditions.
•Pregnancy.
•Drug allergies.
•Other medications taken by the patient.
Medications

•Chloroquine
•Mefloquine .
•Sulfadoxine-pyrimethamine .
• Quinine sulfate.
•Doxycycline.
• Hydroxychloroquine.
Complications
Splenomegaly
(Enlarged spleen).

Cerebral malaria
Prevention :
Protecting
yourself

against
mosquito
bites
Taking antimalarial
medicines
young children
and pregnant
women avoid
traveling to
areas where
malaria is
common
Conclusion

you should see the doctor
if you experience a high
fever while living in or
after traveling to high-risk
malaria region.
References
*Microorganism book
*http://www.webmd.com/a-to-z-guides/malaria-symptoms
*http://emedicine.medscape.com/article/221134-differential
*http://www.parn.org.pk/index_files/Laboratory%20Diagn
osis%20of%20Malaria.html
*http://malaria.emedtv.com/malaria/malaria-diagnosis.html
*http://www.onlymyhealth.com/what-types-malaria1302068689
*http://www.niaid.nih.gov/topics/malaria/pages/lifecycle.aspx
*http://www.vitalhealthzone.com/health/conditions/m/
malaria/06_complications_of_malaria.html#1
Malaria

Weitere ähnliche Inhalte

Was ist angesagt? (20)

Malaria
MalariaMalaria
Malaria
 
Malaria
MalariaMalaria
Malaria
 
Malaria ppt final
Malaria ppt finalMalaria ppt final
Malaria ppt final
 
Malaria
MalariaMalaria
Malaria
 
Malaria ppt.
Malaria ppt.Malaria ppt.
Malaria ppt.
 
Malaria
MalariaMalaria
Malaria
 
Malaria
MalariaMalaria
Malaria
 
Malaria
Malaria Malaria
Malaria
 
Malaria
MalariaMalaria
Malaria
 
Malaria
MalariaMalaria
Malaria
 
Malaria presentation
Malaria presentationMalaria presentation
Malaria presentation
 
Maleria
MaleriaMaleria
Maleria
 
Malaria presentation
Malaria presentationMalaria presentation
Malaria presentation
 
Malaria.ppt.2003
Malaria.ppt.2003Malaria.ppt.2003
Malaria.ppt.2003
 
My malaria lecture
My malaria lectureMy malaria lecture
My malaria lecture
 
Malaria
MalariaMalaria
Malaria
 
Malaria
Malaria Malaria
Malaria
 
malaria
malariamalaria
malaria
 
Malaria
MalariaMalaria
Malaria
 
Filariasis
FilariasisFilariasis
Filariasis
 

Andere mochten auch

Andere mochten auch (20)

Malaria
Malaria Malaria
Malaria
 
MalĂĄria
MalĂĄriaMalĂĄria
MalĂĄria
 
Malaria and giardiasis.by shravan
Malaria and giardiasis.by shravan Malaria and giardiasis.by shravan
Malaria and giardiasis.by shravan
 
MALARIA
MALARIA MALARIA
MALARIA
 
COPD
COPDCOPD
COPD
 
trauma and bleeding (hemorrhagic shock)
trauma and bleeding (hemorrhagic shock)trauma and bleeding (hemorrhagic shock)
trauma and bleeding (hemorrhagic shock)
 
HIV in USA
HIV in USAHIV in USA
HIV in USA
 
The oath of Muslim physicians
The oath of Muslim physiciansThe oath of Muslim physicians
The oath of Muslim physicians
 
Pulmonary embolism
Pulmonary embolismPulmonary embolism
Pulmonary embolism
 
Drinking alcohol + respiratory system
Drinking alcohol + respiratory systemDrinking alcohol + respiratory system
Drinking alcohol + respiratory system
 
Acute diverticulitis
Acute diverticulitis Acute diverticulitis
Acute diverticulitis
 
Sulfonamide & cotri
Sulfonamide & cotriSulfonamide & cotri
Sulfonamide & cotri
 
Yellow Baby
Yellow Baby Yellow Baby
Yellow Baby
 
Pulmonary embolism investigations
Pulmonary embolism investigationsPulmonary embolism investigations
Pulmonary embolism investigations
 
Pathophysiology of skin cancer
Pathophysiology of skin cancerPathophysiology of skin cancer
Pathophysiology of skin cancer
 
Acute kidney injury
Acute kidney injuryAcute kidney injury
Acute kidney injury
 
Whiplash injury in athletes
Whiplash injury in athletesWhiplash injury in athletes
Whiplash injury in athletes
 
Complex partial seizures
Complex partial seizuresComplex partial seizures
Complex partial seizures
 
Post coital bleeding
Post coital bleedingPost coital bleeding
Post coital bleeding
 
Papillary rupture
Papillary rupture Papillary rupture
Papillary rupture
 

Ähnlich wie Malaria

Ähnlich wie Malaria (20)

Malaria 131203111552-phpapp01
Malaria 131203111552-phpapp01Malaria 131203111552-phpapp01
Malaria 131203111552-phpapp01
 
Malaria
MalariaMalaria
Malaria
 
Project Paper on Malaria
Project Paper on MalariaProject Paper on Malaria
Project Paper on Malaria
 
Essay Malaria
Essay MalariaEssay Malaria
Essay Malaria
 
Why do we fall ill
Why do we fall illWhy do we fall ill
Why do we fall ill
 
Malarial pathogenesis
Malarial pathogenesisMalarial pathogenesis
Malarial pathogenesis
 
8-Human Health and Diseases.pptx
8-Human Health and Diseases.pptx8-Human Health and Diseases.pptx
8-Human Health and Diseases.pptx
 
Malaria
MalariaMalaria
Malaria
 
Malaria
MalariaMalaria
Malaria
 
Malaria
MalariaMalaria
Malaria
 
6.pptx
6.pptx6.pptx
6.pptx
 
Malaria
MalariaMalaria
Malaria
 
seminar on Malaria
seminar on Malaria seminar on Malaria
seminar on Malaria
 
Malaria shyam
Malaria shyamMalaria shyam
Malaria shyam
 
11. INSECT-BORNE DISEASE.pdf
11. INSECT-BORNE DISEASE.pdf11. INSECT-BORNE DISEASE.pdf
11. INSECT-BORNE DISEASE.pdf
 
Diagnosis of Parasitic Diseases.pptx
Diagnosis of Parasitic Diseases.pptxDiagnosis of Parasitic Diseases.pptx
Diagnosis of Parasitic Diseases.pptx
 
Pathogens.ppt
Pathogens.pptPathogens.ppt
Pathogens.ppt
 
Leishmanisis.
Leishmanisis.Leishmanisis.
Leishmanisis.
 
Medical entomology
Medical entomologyMedical entomology
Medical entomology
 
Medical entomology
Medical entomologyMedical entomology
Medical entomology
 

Mehr von Maryam AL-Qahtani

Failure to thrive (FTT)
Failure to thrive (FTT)Failure to thrive (FTT)
Failure to thrive (FTT)Maryam AL-Qahtani
 
The CVP in hypovolemic shock.
The CVP in  hypovolemic shock.The CVP in  hypovolemic shock.
The CVP in hypovolemic shock.Maryam AL-Qahtani
 
Osgood-Schlatter disease
Osgood-Schlatter disease Osgood-Schlatter disease
Osgood-Schlatter disease Maryam AL-Qahtani
 
pneumocystis jiroveci pneumonia in HIV
pneumocystis jiroveci pneumonia in HIV pneumocystis jiroveci pneumonia in HIV
pneumocystis jiroveci pneumonia in HIV Maryam AL-Qahtani
 

Mehr von Maryam AL-Qahtani (7)

Vitiligo
VitiligoVitiligo
Vitiligo
 
Breast swelling
Breast swellingBreast swelling
Breast swelling
 
Failure to thrive (FTT)
Failure to thrive (FTT)Failure to thrive (FTT)
Failure to thrive (FTT)
 
The CVP in hypovolemic shock.
The CVP in  hypovolemic shock.The CVP in  hypovolemic shock.
The CVP in hypovolemic shock.
 
Osgood-Schlatter disease
Osgood-Schlatter disease Osgood-Schlatter disease
Osgood-Schlatter disease
 
pneumocystis jiroveci pneumonia in HIV
pneumocystis jiroveci pneumonia in HIV pneumocystis jiroveci pneumonia in HIV
pneumocystis jiroveci pneumonia in HIV
 
Atherosclerosis
AtherosclerosisAtherosclerosis
Atherosclerosis
 

KĂźrzlich hochgeladen

Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...aartirawatdelhi
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Dipal Arora
 
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls JaipurRussian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipurparulsinha
 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...Garima Khatri
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...jageshsingh5554
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiAlinaDevecerski
 
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...hotbabesbook
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...perfect solution
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableDipal Arora
 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsGfnyt
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escortsvidya singh
 
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...astropune
 
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Servicevidya singh
 

KĂźrzlich hochgeladen (20)

Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
 
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
 
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls JaipurRussian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
 
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
 
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
 
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
 
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 

Malaria