%0 Journal Article
%T Cerebral Malaria: Epidemiological, Clinical and Prognosis Aspects in the Anesthesia-Resuscitation Department CHU Ignace Deen
%A Abdoulaye Tour¨¦
%A Amadou Yalla Camara
%A Almamy Bangoura
%A M¡¯mah Lamine Camara
%A Mohamed Soumah
%A Saramba Nabe
%J Open Journal of Emergency Medicine
%P 162-173
%@ 2332-1814
%D 2023
%I Scientific Research Publishing
%R 10.4236/ojem.2023.114016
%X <strong>Objective:</strong> To describe the epidemiological, clinical, paraclinical and prognostic aspects of cerebral malaria received in the anesthesia-resuscitation department. <strong>Methodology:</strong> This was a prospective descriptive type study carried out in the anesthesia-resuscitation department over a period of three (03) months (June 01 to August 31, 2022). All patients admitted for cerebral malaria were included. Sociodemographic, clinical and prognostic parameters were studied. <strong>Results:</strong> We collected 25 cases out of 105 admitted patients (23.8%). The average age was 27.6 ¡À 9.5 years with extremes of 11 and 50 years. The sex ratio was 0.7 (M/F). Students and housewives were in the majority, <em>i.e.</em> 52% and 24%. Neurological disorders were found on admission in all patients, dominated by impaired consciousness at 100% followed by convulsion (60%), prostration (44%), confusion (36%) associated with deep coma in (68%). Gross hemoglobinuria was present in (84%) of cases. On the blood count, anemia was present in (70%) of the patients followed by thrombocytopenia in more than half of the cases (60%) and transfusion was necessary in 19 cases. P Falciparum malaria was found in all patients (100%), the average parasite density was 60342.8 ¡À 30425.6 trophozoites/¦Ìl with extremes of 9000 to 100000 trophozoites/¦Ìl. All our patients were treated with intravenous injectable artesunate. Transfusion was performed in 76% of our patients. Eighty percent of the patients had benefited from dialysis. High oxygen therapy was performed in (92%) of cases. The average duration of hospitalization was 5.74 ¡À days with extremes of 1 to 17 days. Mortality was 48%. <strong>Conclusion:</strong> Cerebral malaria can take different clinical forms, the most important of which is cerebral involvement. Prompt initiation of appropriate resuscitation can reduce mortality.
%K Cerebral Malaria
%K Mortality
%K Resuscitation
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=128491