Skip directly to site content Skip directly to page options Skip directly to A-Z link Skip directly to A-Z link Skip directly to A-Z link
Volume 15, Number 5—May 2009
CME ACTIVITY - Research

Increased Risk for Severe Malaria in HIV-1–infected Adults, Zambia

Victor Chalwe, Doreen Mukwamataba, Joris Menten, John Kamalamba, Modest Mulenga, Umberto D’Alessandro, and Jean-Pierre Van GeertruydenComments to Author 
Author affiliations: Tropical Diseases Research Centre, Ndola, Zambia (V. Chalwe, D. Mukwamataba, M. Mulenga); Institute of Tropical Medicine, Antwerp, Belgium (J.-P. Van geertruyden, J. Menten, U. D’Alessandro); Thomson Hospital, Luanshya, Zambia (J. Kamalamba)

Main Article

Table 2

Clinical features of case-patients with severe malaria in case–control study, by HIV-1 infection status, Luanshya, Zambia

Clinical features HIV-1 infected, n = 27 HIV-1 uninfected,* n = 2
Signs and symptoms, no. (%)
Fever (>37.5°C) 20 (74) 1 (50)
History of fever 25 (93) 2 (100)
Impaired consciousness (Glasgow Coma Score <10) 15 (56) 0 (0)
Severe anemia (<7 g/dL)† 5 (19) 0 (0)
Convulsions 6 (22) 0 (0)
Jaundice 3 (11) 1 (50)
Hypoglycemia (<2.5 mmol/L) 11 (41) 0 (0)
Hyperparasitemia (>100,000 parasites/µL) 6 (22) 0 (0)
Renal impairment
0 (0.0)
0 (0)
Leukocyte count, mean 1,000/µL (SD)‡ 6.9 (3.9) 4.2 and 8.7
Lymphocytes, % (SD)‡ 25 (11) 18
Monocytes, % (SD)‡ 11 (6) 5.2
Granulocytes, % (SD)‡
62 (20)
76.8
Parasite density, geometric mean/UL (95% confidence interval) 43,314 (25,467–81,145) 11,745 and 38,942
Concomitant antimicrobial drugs
15 (56)
0
Outcome
No. (%) discharged 24 (82) 2 (100)
Median time hospitalized, d (range) 5.5 (1–31) 4 and 17
No. deceased (case-fatality ratio) 5 (19) 0
Median length of illness before death, d (range) 2 (1–11)

*Because only 2 results were HIV negative, no SD or confidence interval was specified.
†Anemia was not an inclusion criterion.
‡Not measured in 4 patients because of technical constraints.

Main Article

Page created: December 20, 2010
Page updated: December 20, 2010
Page reviewed: December 20, 2010
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
file_external