[ PALUDISME CEREBRAL DE L'ENFANT A LWIRO (Sud-Kivu RDC) ]
Volume 13, Issue 1, September 2015, Pages 178–184
Bisimwa Mushagalusa1, Manegabe Babunga2, Mbiye Badibanga3, Nkonzi Karazo4, Manimani Riziki5, and Kafumba Kibibi6
1 Département de Nutrition, Centre de Recherche en Sciences Naturelles CRSN/Lwiro Bukavu, RD Congo
2 Département de Nutrition, Centre de Recherche en Sciences Naturelles CRSN/Lwiro Bukavu, RD Congo
3 Département de Nutrition, Centre de Recherche en Sciences Naturelles CRSN/Lwiro Bukavu, RD Congo
4 Département de Nutrition, Centre de Recherche en Sciences Naturelles CRSN/Lwiro Bukavu, RD Congo
5 Département de Nutrition, Centre de Recherche en Sciences Naturelles CRSN/Lwiro Bukavu, RD Congo
6 Département de Nutrition, Centre de Recherche en Sciences Naturelles CRSN/Lwiro Bukavu, RD Congo
Original language: French
Copyright © 2015 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Cerebral malaria is one of the major and deadly complications of malaria. The present study aims at describing the clinical presentation and laboratory findings of cerebral malaria in children in Lwiro.
All patients admitted in the paediatric ward of Lwiro Pediatric Hospital with malaria who presented neurological signs. 150 cases were enrolled in all, making up 34.6% of all admissions. The mean age was 4.7 years; the peak age of these patients was 0-5 years. The sex ratio was 0.9. Convulsions and coma with preceding hyperthermia were present in more than 90% of the patients. The proportion of patients with cerebral malaria only was 71.3% followed by cerebral malaria associated to anemia 21.3% and to respiratory distress 7.4%. 15 patients had hypoglycaemia on admission. There were no neurological sequels at discharge and 23 children died (15.3%). Delay in diagnosis and initiation of treatement with quinine adversely affected the prognosis of cerebral malaria in the study group.
Author Keywords: cerebral malaria, children, clinical presentation.
Volume 13, Issue 1, September 2015, Pages 178–184
Bisimwa Mushagalusa1, Manegabe Babunga2, Mbiye Badibanga3, Nkonzi Karazo4, Manimani Riziki5, and Kafumba Kibibi6
1 Département de Nutrition, Centre de Recherche en Sciences Naturelles CRSN/Lwiro Bukavu, RD Congo
2 Département de Nutrition, Centre de Recherche en Sciences Naturelles CRSN/Lwiro Bukavu, RD Congo
3 Département de Nutrition, Centre de Recherche en Sciences Naturelles CRSN/Lwiro Bukavu, RD Congo
4 Département de Nutrition, Centre de Recherche en Sciences Naturelles CRSN/Lwiro Bukavu, RD Congo
5 Département de Nutrition, Centre de Recherche en Sciences Naturelles CRSN/Lwiro Bukavu, RD Congo
6 Département de Nutrition, Centre de Recherche en Sciences Naturelles CRSN/Lwiro Bukavu, RD Congo
Original language: French
Copyright © 2015 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Cerebral malaria is one of the major and deadly complications of malaria. The present study aims at describing the clinical presentation and laboratory findings of cerebral malaria in children in Lwiro.
All patients admitted in the paediatric ward of Lwiro Pediatric Hospital with malaria who presented neurological signs. 150 cases were enrolled in all, making up 34.6% of all admissions. The mean age was 4.7 years; the peak age of these patients was 0-5 years. The sex ratio was 0.9. Convulsions and coma with preceding hyperthermia were present in more than 90% of the patients. The proportion of patients with cerebral malaria only was 71.3% followed by cerebral malaria associated to anemia 21.3% and to respiratory distress 7.4%. 15 patients had hypoglycaemia on admission. There were no neurological sequels at discharge and 23 children died (15.3%). Delay in diagnosis and initiation of treatement with quinine adversely affected the prognosis of cerebral malaria in the study group.
Author Keywords: cerebral malaria, children, clinical presentation.
Abstract: (french)
Le paludisme cérébral (PC) est l'une des manifestations cliniques majeures spontanément mortelle du paludisme. Le but du travail est l'étude de la présentation clinique et paraclinique des cas de PC de l'enfant à Lwiro.
Notre recrutement s'est effectué parmi les enfants admis pour paludisme dans le service de Pédiatrie de l'Hôpital Pédiatrique de Lwiro et qui présentaient des signes neurologiques. 150 cas ont été retenus soit 34,6% des admissions. L'âge moyen était de 4,7 ans, la tranche d'âge la plus touchée était comprise entre 0 et 5 ans. Le sex ratio 0,9. Les convulsions et le coma souvent précédés de la fièvre étaient présents chez pus de 90% des patients. Le PC isolé représentait 71,3% des patients suivi de PC associé à l'anémie 21,3% et à la détresse respiratoire 7,4%. 15 enfants soit 18,7% avaient présenté hypoglycémie à l'admission. 82% des malades ont eu une évolution favorable et n'ont présenté aucune anomalie de leur examen neurologique à la sortie de l'hôpital. 23 enfants soit 15,3% sont décédés. Le retard du diagnostic et de la mise en route du traitement à la quinine semblent être les causes aggravantes du pronostic dans nos cas de paludisme cérébral.
Author Keywords: Paludisme cérébral, enfant, présentation clinique.
How to Cite this Article
Bisimwa Mushagalusa, Manegabe Babunga, Mbiye Badibanga, Nkonzi Karazo, Manimani Riziki, and Kafumba Kibibi, “CEREBRAL MALARIA IN CHILDREN IN LWIRO (South Kivu DRC),” International Journal of Innovation and Applied Studies, vol. 13, no. 1, pp. 178–184, September 2015.
