Document Detail


Physiopathologic factors resulting in poor outcome in childhood severe malaria in Cameroon.
MedLine Citation:
PMID:  19935269     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
OBJECTIVES: We evaluated plasma creatinine, urea, bilirubin, lactic acid, and nitric oxide values in children with malaria to identify indices of disease severity and predictors of fatal outcomes. METHODS: Children 0 to 15 years old were recruited, clinical data recorded, and blood samples collected. Plasma creatinine, urea, bilirubin, lactic acid, and nitric oxide (NO) values were determined by spectrophotometry. RESULTS: Values of creatinine, urea, and bilirubin were normal in all the groups except for urea in some groups (55.30 +/- 5.508 mg/dL and 60.45 +/- 15.56 mg/dL in anemia patients and those with the combined symptoms of cerebral malaria and anemia, respectively). The mean lactate values were high in severe malaria groups (0.57 +/- 0.05 g/L and 0.48 +/- 0.05 g/L in cerebral malaria and anemia patients, respectively). As for the mean NO values, they were above the normal range in all the groups, except the controls, but particularly in the severe malaria groups (68.66 +/- 7.85, 84.52 +/- 8.17, 99.57 +/- 10.48, 87.25 +/- 12.57, and 93.48 +/- 7.09 micromol/L for the control, uncomplicated malaria, anemia, cerebral malaria patients and those with the combined symptoms of cerebral malaria and anemia, respectively; P = 0.643). CONCLUSIONS: In this setting, lactate and NO were indicators of poor prognosis. Though the impact of creatinine, urea, and bilirubin were not found to be significant, they can still be useful to assess improvement in severe malaria cases.
Authors:
Inocent Gouado; Joël Bertrand Pankoui M; Honoré Fotso K; Odette Zambou; Salomé Nguélé; Valéry Combes; Georges E Grau; Paul Henri Amvam Z
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Pediatric infectious disease journal     Volume:  28     ISSN:  1532-0987     ISO Abbreviation:  Pediatr. Infect. Dis. J.     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-11-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8701858     Medline TA:  Pediatr Infect Dis J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1081-4     Citation Subset:  IM    
Affiliation:
Department of Biochemistry, University of Douala, Douala, Cameroon. gouadoi@yahoo.fr
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