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Published on: June 8, 2017
Retinopathy in Gambian children admitted to hospital with malaria
Matthew Burton1, Omondi Nyong'o, Kathryn Burton
1Medical Research Council Laboratories, Fajara, The Gambia. matthew.burton@lshtm.ac.uk
Insights
Retinal abnormalities in severe malaria are common in African children. This study details the prevalence and characteristics of retinopathy in severe non-cerebral malaria, informing prognosis and clinical management.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Pediatrics
Background:
- Cerebral malaria in African children is linked to a known poor-prognosis retinopathy.
- Retinal abnormalities in severe non-cerebral malaria remain understudied.
- Children with severe non-cerebral malaria are at high risk for cerebral complications.
Purpose of the Study:
- To describe the prevalence, pattern, clinical significance, and examination accessibility of retinopathy in children with severe malaria.
- To investigate retinal abnormalities in severe non-cerebral malaria patients.
Main Methods:
- Retrospective analysis of 106 Gambian children admitted with severe malaria.
- Inclusion of six children with established cerebral malaria for comparison.
- Assessment of retinopathy prevalence, pattern, and clinical significance.
Main Results:
- Detailed description of retinopathy prevalence and patterns in severe malaria.
- Evaluation of the clinical significance and examination accessibility of observed retinal abnormalities.
- Findings contribute to understanding the spectrum of malaria-associated retinopathy.
Conclusions:
- Retinopathy is a significant finding in severe malaria, even in non-cerebral cases.
- Understanding these retinal findings can aid in prognosis and management.
- Further research on malaria retinopathy is warranted.
Abstract:
A characteristic retinopathy associated with a poor prognosis has previously been described in African children with established cerebral malaria. However, relatively little is known about retinal abnormalities in children with severe non-cerebral malaria, the group most at risk of developing the cerebral complications of this disease. In this study the prevalence, pattern, clinical significance and accessibility to clinical examination of this characteristic retinopathy are described in 106 Gambian children admitted consecutively to hospital with severe malaria, including six with established cerebral malaria.
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