Intended for healthcare professionals

Rapid response to:


Treating severe malaria

BMJ 2005; 330 doi: (Published 10 February 2005) Cite this as: BMJ 2005;330:317

Rapid Response:

Rescue of Cerebral Malaria

Dear Editor,

I have read Christopher et al's editorial with a great interest. Malaria is still a major problem in developing countries and cerebral malaria is the most dreadful form of the disease with high mortality due to high parasitemic level. The problem with whatever drug therapy used for cerebral malaria is its relatively slow activity. The patient often dies before even the drug starts acting. It seems to me that the only effective means to reduce the parasitemic level as quickly as possible without farther endangering the patient is by an urgent blood exchange. This rescue procedure is relatively simple, cheap, and in my opinion, should be adapted as the rescue procedure of choice by hospitals and health authorities in endemic countries. .

1. Christopher J M Whitty, Evelyn Ansah, and Hugh Reyburn Treating severe malaria. BMJ 2005; 330: 317-31

2. Eisenman A, Baruch Y, Shechter Y, Oren I.Blood exchange -a rescue procedure for complicated falciparum malaria. Vox Sang. 1995;68:19-21

Competing interests: None declared

Competing interests: No competing interests

14 February 2005
Arie Eisenman
head of medical section, the emergency department
The Western Galilee Hospital, POB 21 ,Naharia, 22100, Israel