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In Vivo Tracking of Edema Development and Microvascular Pathology in a Model of Experimental Cerebral Malaria Using Magnetic Resonance Imaging
Published on: June 8, 2017
Oxygen therapy for cerebral malaria
1UCL Medical School & Department of Neuroscience, Physiology and Pharmacology, Gower Street, London WC1E 6BT, United Kingdom. d.bruce-hickman@ucl.ac.uk
Abstract:
Malaria is an important global health issue, killing nearly one million people worldwide each year. There is a disproportionate disease burden, since 89% of cases are of African origin, and 85% of deaths worldwide occur in children under 5 years of age of age.(1) Cerebral malaria (CM) is the most serious complication of infection. Despite prompt anti-malarial treatment, fatalities remain high - mortality rates while undergoing treatment with Artemisinin or quinine-based therapy reach 15% and 22% respectively.(2) There is, therefore, a need to develop an adjunct therapy to preserve neurological function during the treatment period. Recent experimental research has indicated hyperbaric oxygenation (HBO) to be a rational and effective adjunct therapy.(3) This article examines the current understanding of CM, and the possible benefits provided by HBO therapy.
Insights
Cerebral malaria (CM) is a severe complication of malaria, causing high mortality despite treatment. Hyperbaric oxygenation (HBO) shows promise as an effective adjunctive therapy to preserve neurological function in CM patients.
Area of Science:
- Global Health
- Infectious Diseases
- Neurology
Background:
- Malaria remains a significant global health burden, causing nearly one million deaths annually.
- Cerebral malaria (CM) is the most severe complication, with high mortality rates even with prompt treatment.
- Current treatments for CM have significant fatality rates, necessitating the development of adjunct therapies.
Purpose of the Study:
- To examine the current understanding of cerebral malaria (CM).
- To investigate the potential benefits of hyperbaric oxygenation (HBO) as an adjunct therapy for CM.
- To explore HBO's role in preserving neurological function during CM treatment.
Main Methods:
- Review of current literature on cerebral malaria pathophysiology and treatment.
- Analysis of experimental research on hyperbaric oxygenation (HBO) in malaria models.
- Examination of clinical data and case studies related to HBO therapy for CM.
Main Results:
- Cerebral malaria presents a significant challenge due to high mortality and neurological complications.
- Experimental evidence suggests hyperbaric oxygenation (HBO) may be a viable adjunct therapy.
- HBO therapy has shown potential in preserving neurological function in preclinical studies.
Conclusions:
- There is a critical need for adjunct therapies to improve outcomes in cerebral malaria.
- Hyperbaric oxygenation (HBO) presents a promising therapeutic strategy to complement existing anti-malarial treatments.
- Further research and clinical trials are warranted to establish the efficacy and safety of HBO for CM.
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