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Hepatopathy in complicated falciparum malaria: report from eastern India
N Mohanty1, S K Satpathy, P Nanda
1M.K.C.G. Medical College and Hospital, Berhampur 760 004, Orissa, India.
Insights
Complicated falciparum malaria in children often causes liver disease (hepatopathy), particularly in those over five years old. While liver enzymes were elevated, it did not significantly increase mortality risk.
Area of Science:
- Pediatrics
- Infectious Diseases
- Hepatology
Background:
- Complicated falciparum malaria is a significant cause of childhood illness.
- Hepatic involvement in pediatric malaria requires further investigation.
Purpose of the Study:
- To determine the incidence and characteristics of hepatopathy in children with complicated falciparum malaria.
- To assess the association of hepatopathy with other malaria complications and mortality.
Main Methods:
- Prospective study involving 216 children diagnosed with complicated falciparum malaria.
- Clinical evaluation and biochemical assessments, including bilirubin and alanine aminotransferase levels.
- Monitoring for other common malaria complications and patient outcomes.
Main Results:
- Hepatopathy was observed in 33.3% of the pediatric cases.
- Higher incidence of hepatopathy was noted in children above five years of age.
- Moderate elevations in bilirubin and alanine aminotransferase were common; no significant association with other complications or increased mortality risk was found.
Conclusions:
- Hepatopathy is a frequent complication of pediatric falciparum malaria, especially in older children.
- Liver enzyme abnormalities are common but do not appear to correlate with increased mortality in this cohort.
Abstract:
A prospective study done in 216 children with complicated falciparum malaria showed hepatopathy in 33.3% of cases with a higher incidence in children aged above five years. Bilirubin and alanine aminotransferase were moderately raised in most cases. No significant association with other common complications and no higher risk of mortality was observed.
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