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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Imported severe malaria in adults: a retrospective study of ten cases admitted to intensive care units in Casablanca
Medecine et Maladies Infectieuses, Volume 37, No. 3, Year 2007
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Description
Introduction: We report a retrospective study in the medical intensive care unit of the Casablanca Ibn-Rochd University hospital. Material and methods: All patients over 14 years of age with falciparum malaria, who were admitted to ICUs between 1996 and 2001, were included. The main epidemiological features, criteria of admission, treatment, and outcome were investigated. Results: Ten patients were included for severe imported malaria. The mean age was 32 ± 4 years. All patients had acquired falciparum malaria in sub-Saharan Africa. Chemoprophylaxis was inadequate in all patients. The mean time from symptom onset to treatment initiation was 9 ± 2 days. Criteria of admission were impaired consciousness (7), acute renal failure (4), and respiratory distress (3). The most worrying factors were the severity of consciousness disorders, the acute respiratory distress syndrome, the metabolic acidosis, and the refractory shock. All patients presented with nosocomial respiratory infection related to Gram-negative bacilli, in the evolution. All patients received quinine therapy with loading dose and symptomatic treatment. Five patients died. Conclusion: The lethality of severe imported malaria is still high despite optimal management in ICUs. Improving chemoprophylaxis and an earlier diagnosis may reduce significantly the mortality rate. © 2007 Elsevier Masson SAS. All rights reserved.
Authors & Co-Authors
Charra, Boubaker
Morocco, Casablanca
Centre Hospitalier Universitaire Ibn Rochd
Sodqi, Mustapha M.
Morocco, Casablanca
Centre Hospitalier Universitaire Ibn Rochd
Sandali, O.
Morocco, Casablanca
Centre Hospitalier Universitaire Ibn Rochd
Nejmi, Hicham
Morocco, Casablanca
Centre Hospitalier Universitaire Ibn Rochd
Hachimi, A.
Morocco, Casablanca
Centre Hospitalier Universitaire Ibn Rochd
Ezzouine, Hanane
Morocco, Casablanca
Centre Hospitalier Universitaire Ibn Rochd
Benslama, Abdellatif
Morocco, Casablanca
Centre Hospitalier Universitaire Ibn Rochd
Himmich, Hakima
Morocco, Casablanca
Centre Hospitalier Universitaire Ibn Rochd
Motaouakkil, Said
Morocco, Casablanca
Centre Hospitalier Universitaire Ibn Rochd
Statistics
Citations: 12
Authors: 9
Affiliations: 1
Identifiers
Doi:
10.1016/j.medmal.2006.09.006
ISSN:
0399077X
Research Areas
Health System And Policy
Infectious Diseases
Noncommunicable Diseases
Study Design
Cohort Study