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Low plasma bicarbonate predicts poor outcome of cerebral malaria in Nigerian children

Title: Low plasma bicarbonate predicts poor outcome of cerebral malaria in Nigerian children
Authors: S Oguche; SI Omokhodion; AA Adeyemo; PE Olumese
Source: West African Journal of Medicine; Vol 21, No 4 (2002); 276-279
Publisher Information: West African Journal of Medicine
Publication Year: 2004
Collection: AJOL - African Journals Online
Subject Terms: Cerebral malaria; Electrolyte imbalances; Acidosis; Children; Nigeria
Description: Malaria remains a major cause of morbidity and mortality in many sub Saharan countries and cerebral malaria is widely recognised as one of its most fatal forms. We studied the predictive value of routine biochemical laboratory indices in predicting the outcome of cerebral malaria in 50 Nigerian children ages 9 months to 6 years with cerebral malaria at the University College Hospital, Ibadan, Nigeria. Of the 50 children studied, 43 (68%) made a full recovery, 5 (105) developed neurological sequelae while 11(22%) died. Biochemical derangements observed among the children included azotaemia (29%), elevated plasma creatinine (20%), metabolic acidiosis (22%) and hyponatraemia (16%). Metabolic acidosis and elevated plasma creatinine on admission were significantly associated with a poor outcome (p
Document Type: article in journal/newspaper
File Description: application/pdf
Language: English
Relation: http://ajol.info/index.php/wajm/article/view/27996
Availability: http://ajol.info/index.php/wajm/article/view/27996
Accession Number: edsbas.5D309B37
Database: BASE