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Revista Cubana de Medicina Militar

Print version ISSN 0138-6557On-line version ISSN 1561-3046

Abstract

PADRON SANCHEZ, Armando  and  TALLEDO RAMOS, Leandro. Mortality from cerebral malaria in civilian and military populations in the People’s Republic of Angola. Rev Cub Med Mil [online]. 2001, vol.30, suppl.5, pp.13-16. ISSN 0138-6557.

Cerebral malaria is a serious disease with high mortality rate in Africa. One hundred and ninety one cases of cerebral malaria were studied, which were admitted to the intensive care unit of the Principal Military Hospital of the People’s Republic of Angola. Average age was 32,14± 12,74 (38,75%) civilians and 117 (61,27%) militaries. The most frequent pathological antecedents were repeated malaria (8,3%) and blood hypertension (6,28%). 83,78% of civilians came from private medical services and 25,67% with incomplete treatment. 50,42% of militaries was sent from military medical services. Comatose (48,16%) and convulsive (18,32%) pictures were the most common forms of occurrence. Quinine and chloroquinine were the most used drugs in treating malaria in the sample; the anti-malaria capacity of quinolones was evidenced in the study. Average length of stay was 21±7 days. The most common complications found were seizure, severe anemia and septic shock. 55,40% of the sample suffered from some sort of malnutrition. 59,54% of civilians and 11,96% of militaries died. The death ratio caused by malaria was 3 to 1. The most significant variables together with mortality were temperature, parasitism, Glasgow’s scale, hemoglobin, creatinine levels, glycemia and complications.

Keywords : MALARIA CEREBRAL [complications]; MALARIA CEREBRAL [mortality]; CHLOROQUINE; QUININE; ANGOLA.

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