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[Clinical study of falciparum malaria in children in Manaus, AM, Brazil]
E Noronha1, M G Alecrim, G A Romero
1Núcleo de Medicina Tropical e Nutrição, Universidade de Brasília, Brasília, DF, 70919-970, Brasil. tropical@.unb.br
Insights
This study on childhood falciparum malaria in Manaus found fever and headache as common symptoms. Most children had uncomplicated malaria, with a low lethality rate of 1.6%.
Area of Science:
- Tropical Medicine
- Pediatric Infectious Diseases
- Clinical Epidemiology
Abstract:
The clinical characteristics of falciparum malaria were studied among 61 children, aged 0 to 14 treated at a reference center in Manaus, from October to December 1997. The symptoms observed were fever (98.4%), headache (80.3%), chills (68.9%), perspiration (65. 6%), myalgia (59.0%), nausea (54.1%), lumbar pain (49.2%), vomiting (49.2%), cough (45.9%), arthralgia (31.1%), diarrhea (34.4%), dyspnea (8.2%), convulsions (8.2%) and dizziness (4.9%). Pallor and anaemia were found more frequently in children under five years old. Anaemia was associated with high levels of parasitaemia. Fifty-eight (91.5%) patients had uncomplicated malaria, 3 (4.9%) had severe malaria and the lethality was 1.6%.