Tropical medicine & international health : TM & IH · 2007
Thiamin deficiency and uncomplicated falciparum malaria in Laos.
СтатьяРандомизированное исследованиеПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Mayxay Mayfong, Taylor Ann M, Khanthavong Maniphone, Keola Siamphay, Pongvongsa Tiengkham, Phompida Samlane, Phetsouvanh Rattanaxay, White Nicholas J, Newton Paul N
Аннотация
OBJECTIVE: Thiamin deficiency complicates severe Plasmodium falciparum malaria in Thailand and may contribute to acidosis. We therefore estimated the frequency of biochemical thiamin deficiency in patients presenting with uncomplicated falciparum malaria in southern Laos.
METHODS: Red cell transketolase activation coefficients (alpha) were measured in 310 patients presenting with uncomplicated falciparum malaria and 42 days after starting treatment.
RESULTS: Twelve per cent of patients had biochemical evidence of severe deficiency (alpha values >1.31) at presentation, declining to 3% 42 days later.
CONCLUSION: Thiamin deficiency was common in Lao patients admitted with uncomplicated P. falciparum infection and was reduced following treatment of malaria and multivitamin supplementation. The role of this preventable and treatable disorder in malaria and other acute infections, and the incidence of beriberi in rural Laos, needs further investigation.
METHODS: Red cell transketolase activation coefficients (alpha) were measured in 310 patients presenting with uncomplicated falciparum malaria and 42 days after starting treatment.
RESULTS: Twelve per cent of patients had biochemical evidence of severe deficiency (alpha values >1.31) at presentation, declining to 3% 42 days later.
CONCLUSION: Thiamin deficiency was common in Lao patients admitted with uncomplicated P. falciparum infection and was reduced following treatment of malaria and multivitamin supplementation. The role of this preventable and treatable disorder in malaria and other acute infections, and the incidence of beriberi in rural Laos, needs further investigation.
Предметные рубрики MeSH
AdolescentAdultAgedAged, 80 and overAntimalarialsArtemisininsArtesunateBeriberiChildChild, PreschoolChloroquineDrug CombinationsDrug Therapy, CombinationEnzyme ActivationErythrocytesFemaleHumansInfantLaosMalaria, FalciparumMaleMiddle AgedPyrimethamineSesquiterpenesSulfadoxineThiamine DeficiencyTransketolaseTreatment Outcome