Spectrum of renal disease in malaria.
J Indian Med Assoc
;
2004 Mar; 102(3): 143, 146, 148 passim
Artículo
en Inglés
| IMSEAR
| ID: sea-100069
ABSTRACT
Between January 2000 and December 2001, renal involvement in 81 cases of malaria was studied. Their age ranged between 05 and 66 (mean 35.5) years. Distribution of malarial parasite was P falciparum (75), mixed infection (4) and P vivax (2). The evidence of clinical renal disease in the form of acute renal failure, electrolyte abnormality, abnormal urinary sediment and increased urinary protein excretion (>500 mg/24 hours) was found in 100%, 91.3%, 46.9% and 18.5% respectively. Probable aetiopathogenesis of acute renal failure (ARF) was multifactorial. Volume depletion (72.8%) was the dominant cause of ARF in these patients. In addition, hyperbilirubinaemia, intravascular haemolysis and sepsis were responsible for ARF in 64.2%, 70.3% and 25.9% cases respectively. All the patients were managed with anti-malarial drugs and dialysis support was needed in 35 patients (43.2%). Prognosis of malarial acute renal failure is favourable with mortality rate of 18.5%. Multi-organ failure was the commonest cause (33.3%) of death.
Texto completo:
Disponible
Índice:
IMSEAR (Asia Sudoriental)
Asunto principal:
Pronóstico
/
Anciano
/
Femenino
/
Humanos
/
Masculino
/
Niño
/
Preescolar
/
Adolescente
/
Malaria Vivax
/
Malaria Falciparum
Tipo de estudio:
Estudio pronóstico
Idioma:
Inglés
Revista:
J Indian Med Assoc
Año:
2004
Tipo del documento:
Artículo
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