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Published on: June 8, 2017
[Blackwater fever in children during cerebral malaria: 3 case reports in Bamako]
A A Oumar1, B Poudiougou, M Sylla
1Département d'épidémiologie des affections parasitaires, faculty of medicine, pharmacy and odontostomatology, BP 1805, Bamako, Mali. alabmai@yahoo.fr
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.
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