Archives de pediatrie : organe officiel de la Societe francaise de pediatrie · 2007
[Blackwater fever in children during cerebral malaria: 3 case reports in Bamako].
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Oumar A A, Poudiougou B, Sylla M, Sall A, Konate S, Togo B, Diakite M, Keita M M
Аннотация
BACKGROUND: Blackwater fever is a rare but serious form of malaria in children. Diagnosis relies on clinical symptoms and on the color of the urines.
OBJECTIVES: To describe blackwater fever in children, a disease whose prevalence seems to be increasing.
METHOD: We report 3 cases of blackwater fever observed in our institution.
RESULTS: In 2 cases, acute renal insufficiency with oligoanuria was observed. In all the 3 cases, treatment with quinine was stopped and replaced by injectable artemether. Evolution was dependent on renal function, and included in 1 patient neurological sequels consisting in aphasia.
CONCLUSION: Blackwater fever is a severe affection whose diagnosis should be evoked using the color of urine. Evolution is usually favorable in the pediatric population, when adequate care can be provided.
OBJECTIVES: To describe blackwater fever in children, a disease whose prevalence seems to be increasing.
METHOD: We report 3 cases of blackwater fever observed in our institution.
RESULTS: In 2 cases, acute renal insufficiency with oligoanuria was observed. In all the 3 cases, treatment with quinine was stopped and replaced by injectable artemether. Evolution was dependent on renal function, and included in 1 patient neurological sequels consisting in aphasia.
CONCLUSION: Blackwater fever is a severe affection whose diagnosis should be evoked using the color of urine. Evolution is usually favorable in the pediatric population, when adequate care can be provided.