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This Week In The Bmj

Neurological presentation of malaria in Yemen has poor prognosis

BMJ 2006; 333 doi: (Published 19 October 2006) Cite this as: BMJ 2006;333:0-a

Malaria is a serious burden on health services in Yemen; it accounts for 17% of paediatric hospital admissions, and more than half of cases are classified as severe falciparum malaria. A two site observational study by Al-Taiar and colleagues (p 827) found that female sex, history of fits, Blantyre coma score < 2, and hyperlactataemia were associated with poor prognosis. Of the 26 children who died, 22 presented with neurological signs; this is in contrast to Africa, where severe anaemia and respiratory distress are better predictors of fatal outcome.

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