Acute Renal Failure in Patients with Severe Falciparum Malaria
Since 1988 in this referral center for severe cases of malaria for South Vietnam, a specialist team has managed malaria-associated renal failure (MARF) with peritoneal dialysis, and the mortality rate of MARF has fallen from 75% (78 of 104) to 26% (27 of 104) (P < .0002). Sixty-four patients with...
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| Veröffentlicht in: | Clinical infectious diseases 1992-11, Vol.15 (5), p.874-880 |
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| container_title | Clinical infectious diseases |
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| creator | Trang, Tran Thi My Phu, Nguyen Hoan Vinh, Ha Hien, Tran Tinh Cuong, Bui Minh Chau, Tran Thi Hong Mai, Nguyen Thi Hoang Waller, Deborah J. White, Nicholas J. |
| description | Since 1988 in this referral center for severe cases of malaria for South Vietnam, a specialist team has managed malaria-associated renal failure (MARF) with peritoneal dialysis, and the mortality rate of MARF has fallen from 75% (78 of 104) to 26% (27 of 104) (P < .0002). Sixty-four patients with MARF (of whom 12 died) were compared to 66 patients with severe malaria whose serum creatinine levels remained |
| doi_str_mv | 10.1093/clind/15.5.874 |
| format | Article |
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Sixty-four patients with MARF (of whom 12 died) were compared to 66 patients with severe malaria whose serum creatinine levels remained <250 µmol/L (six died). MARF had the clinical and biochemical features of acute tubular necrosis and was significantly associated with liver dysfunction (P < .05). A fatal outcome was associated significantly with anuria, a short history of illness, multisystem involvement, and high parasitemia. Most patients died from complications related to renal failure. Recovery of renal function was unrelated to parasitemia or hemoglobinuria; the median (range) time until urine output exceeded 20 mL/(kg · d) was 4 (0–19) days, and the time (mean ± SD) for serum creatinine level to return to normal was 17 ± 6 days. MARF can be managed effectively by prompt and careful peritoneal dialysis, but more effective dialysis or diafiltration might reduce the mortality rate further.</description><identifier>ISSN: 1058-4838</identifier><identifier>EISSN: 1537-6591</identifier><identifier>DOI: 10.1093/clind/15.5.874</identifier><identifier>PMID: 1445988</identifier><language>eng</language><publisher>United States: The University of Chicago Press</publisher><subject>Acute kidney failure ; Acute Kidney Injury - etiology ; Acute Kidney Injury - mortality ; Acute Kidney Injury - pathology ; Acute Kidney Injury - therapy ; Adult ; Analysis of Variance ; Dialysis ; Falciparum malaria ; Female ; Hospital admissions ; Humans ; International Reports ; Kidney failure ; Malaria ; Malaria, Falciparum - complications ; Malaria, Falciparum - mortality ; Malaria, Falciparum - pathology ; Malaria, Falciparum - therapy ; Male ; Outcome and Process Assessment (Health Care) ; Parasitemia ; Peritoneal dialysis ; Peritoneal Dialysis - adverse effects ; Peritoneal Dialysis - methods ; Peritoneal Dialysis - statistics & numerical data ; Plasmodium falciparum ; Tropical medicine ; Urine</subject><ispartof>Clinical infectious diseases, 1992-11, Vol.15 (5), p.874-880</ispartof><rights>Copyright 1992 The University of Chicago</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c380t-74b191168d3b6f68a6d55cfe8ba9e2541e11621e0d4d8eeb27d4f5a424698b073</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/4456734$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/4456734$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,803,27924,27925,58017,58250</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1445988$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Trang, Tran Thi My</creatorcontrib><creatorcontrib>Phu, Nguyen Hoan</creatorcontrib><creatorcontrib>Vinh, Ha</creatorcontrib><creatorcontrib>Hien, Tran Tinh</creatorcontrib><creatorcontrib>Cuong, Bui Minh</creatorcontrib><creatorcontrib>Chau, Tran Thi Hong</creatorcontrib><creatorcontrib>Mai, Nguyen Thi Hoang</creatorcontrib><creatorcontrib>Waller, Deborah J.</creatorcontrib><creatorcontrib>White, Nicholas J.</creatorcontrib><title>Acute Renal Failure in Patients with Severe Falciparum Malaria</title><title>Clinical infectious diseases</title><addtitle>Clinical Infectious Diseases</addtitle><description>Since 1988 in this referral center for severe cases of malaria for South Vietnam, a specialist team has managed malaria-associated renal failure (MARF) with peritoneal dialysis, and the mortality rate of MARF has fallen from 75% (78 of 104) to 26% (27 of 104) (P < .0002). Sixty-four patients with MARF (of whom 12 died) were compared to 66 patients with severe malaria whose serum creatinine levels remained <250 µmol/L (six died). MARF had the clinical and biochemical features of acute tubular necrosis and was significantly associated with liver dysfunction (P < .05). A fatal outcome was associated significantly with anuria, a short history of illness, multisystem involvement, and high parasitemia. Most patients died from complications related to renal failure. Recovery of renal function was unrelated to parasitemia or hemoglobinuria; the median (range) time until urine output exceeded 20 mL/(kg · d) was 4 (0–19) days, and the time (mean ± SD) for serum creatinine level to return to normal was 17 ± 6 days. MARF can be managed effectively by prompt and careful peritoneal dialysis, but more effective dialysis or diafiltration might reduce the mortality rate further.</description><subject>Acute kidney failure</subject><subject>Acute Kidney Injury - etiology</subject><subject>Acute Kidney Injury - mortality</subject><subject>Acute Kidney Injury - pathology</subject><subject>Acute Kidney Injury - therapy</subject><subject>Adult</subject><subject>Analysis of Variance</subject><subject>Dialysis</subject><subject>Falciparum malaria</subject><subject>Female</subject><subject>Hospital admissions</subject><subject>Humans</subject><subject>International Reports</subject><subject>Kidney failure</subject><subject>Malaria</subject><subject>Malaria, Falciparum - complications</subject><subject>Malaria, Falciparum - mortality</subject><subject>Malaria, Falciparum - pathology</subject><subject>Malaria, Falciparum - therapy</subject><subject>Male</subject><subject>Outcome and Process Assessment (Health Care)</subject><subject>Parasitemia</subject><subject>Peritoneal dialysis</subject><subject>Peritoneal Dialysis - adverse effects</subject><subject>Peritoneal Dialysis - methods</subject><subject>Peritoneal Dialysis - statistics & numerical data</subject><subject>Plasmodium falciparum</subject><subject>Tropical medicine</subject><subject>Urine</subject><issn>1058-4838</issn><issn>1537-6591</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMtLxDAQh4Movq-eFHry1jXTJE16EXS1KiiKb7yEtJ1itNtdk9bHf2-0okdPM8z3zTD8CNkAOgKasZ2ysW21A2IkRkryObIMgsk4FRnMh54KFXPF1BJZ8f6JUgBFxSJZBM5FptQy2d0r-w6jS2xNE-XGNr3DyLbRhekstp2P3mz3GF3hK4Z5bprSzozrJ9GZaYyzZo0s1KbxuP5TV8lNfng9Po5Pz49OxnuncckU7WLJC8gAUlWxIq1TZdJKiLJGVZgME8EBA0wAacUrhVgksuK1MDzhaaYKKtkq2R7uztz0pUff6Yn1JTaNaXHaey0ZSxSk_4vBSaXkEMTRIJZu6r3DWs-cnRj3oYHqr2T1d7IahBY6JBsWtn4u98UEqz99iDLwzYE_-W7qfnGg4a2v9XjA1nf4_ouNe9aBS6GP7x90ku8_nOW3B_qOfQKTi4xi</recordid><startdate>19921101</startdate><enddate>19921101</enddate><creator>Trang, Tran Thi My</creator><creator>Phu, Nguyen Hoan</creator><creator>Vinh, Ha</creator><creator>Hien, Tran Tinh</creator><creator>Cuong, Bui Minh</creator><creator>Chau, Tran Thi Hong</creator><creator>Mai, Nguyen Thi Hoang</creator><creator>Waller, Deborah J.</creator><creator>White, Nicholas J.</creator><general>The University of Chicago Press</general><general>University of Chicago Press</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>M7N</scope><scope>7X8</scope></search><sort><creationdate>19921101</creationdate><title>Acute Renal Failure in Patients with Severe Falciparum Malaria</title><author>Trang, Tran Thi My ; 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Sixty-four patients with MARF (of whom 12 died) were compared to 66 patients with severe malaria whose serum creatinine levels remained <250 µmol/L (six died). MARF had the clinical and biochemical features of acute tubular necrosis and was significantly associated with liver dysfunction (P < .05). A fatal outcome was associated significantly with anuria, a short history of illness, multisystem involvement, and high parasitemia. Most patients died from complications related to renal failure. Recovery of renal function was unrelated to parasitemia or hemoglobinuria; the median (range) time until urine output exceeded 20 mL/(kg · d) was 4 (0–19) days, and the time (mean ± SD) for serum creatinine level to return to normal was 17 ± 6 days. MARF can be managed effectively by prompt and careful peritoneal dialysis, but more effective dialysis or diafiltration might reduce the mortality rate further.</abstract><cop>United States</cop><pub>The University of Chicago Press</pub><pmid>1445988</pmid><doi>10.1093/clind/15.5.874</doi><tpages>7</tpages></addata></record> |
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| ispartof | Clinical infectious diseases, 1992-11, Vol.15 (5), p.874-880 |
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| source | MEDLINE; Oxford University Press Journals Digital Archive Legacy; JSTOR Archive Collection A-Z Listing |
| subjects | Acute kidney failure Acute Kidney Injury - etiology Acute Kidney Injury - mortality Acute Kidney Injury - pathology Acute Kidney Injury - therapy Adult Analysis of Variance Dialysis Falciparum malaria Female Hospital admissions Humans International Reports Kidney failure Malaria Malaria, Falciparum - complications Malaria, Falciparum - mortality Malaria, Falciparum - pathology Malaria, Falciparum - therapy Male Outcome and Process Assessment (Health Care) Parasitemia Peritoneal dialysis Peritoneal Dialysis - adverse effects Peritoneal Dialysis - methods Peritoneal Dialysis - statistics & numerical data Plasmodium falciparum Tropical medicine Urine |
| title | Acute Renal Failure in Patients with Severe Falciparum Malaria |
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