Abstract
Plasmodium falciparum malaria can cause death through a variety of complications, an important one of these being cerebral malaria (CM). In areas where P. falciparum transmission is intense, deaths from CM tend to occur in children under the age of 8 years – older people being protected by partial immunity. In an endemic area, asymptomatic P. falciparum parasitaemia is common. Therefore, among individuals with any clinical syndrome, a considerable proportion may have parasitaemia that is incidental and not causally related to the illness (Koram and Molyneux, 2007). This frequently leads to diagnostic difficulty. Children presenting with encephalopathy (altered consciousness with or without convulsions), who are parasitaemic may be suffering from cerebral malaria or may have another cause of encephalopathy (e.g. viral or metabolic) with incidental parasitaemia.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Beare, N.A.V., Lewis, D.K., Kublin, J.G., Harding, S.P., Zijlstra, E.E., & Molyneux, M.E. (2003). Retinal changes in adults with cerebral malaria. Ann Trop Med Parasitol, (97), 313–315.
Beare, N.A., Southern, C., Chalira, C., Taylor, T.E., Molyneux, M.E., & Harding, S.P. (2004a). Prognostic significance and course of retinopathy in children with severe malaria. Arch Ophthalmol, (122), 1141–1147.
Beare, N.A., Southern, C., Kayira, K., Taylor, T.E., Harding, S.P. (2004b). Visual outcomes in children in Malawi following retinopathyof severe malaria. Br J Ophthalmol, (88), 321–324.
Beare, N.A.V., Harding, S.P., Taylor, T.E., Lewallen, S., & Molyneux, M.E. (2009). Perfusion abnormalities in children with cerebral malaria and malarial retinopathy. J Infect Dis, 199(2), 263–271.
Koram, K. & Molyneux, M.E. (2007). When is “malaria” malaria? The different burdens of malaria infection, malaria disease and malaria-like illnesses. In: J.G.Breman, M.S.Alilio, N.J.White (Eds.) Defining and defeating the intolerable burden of malaria – III. Progress and perspectives. Am J Trop Med Hyg, 77(6) supplement, 1–327.
Lewallen, S., Bakker, H., Taylor, T.E., Wills, B.A., Courtright, P., & Molyneux, M.E. (1996). Retinal findings predictive of outcome in cerebral malaria. Trans R Soc Trop Med Hyg, (90), 144–146.
Lewallen, S., White, V.A., Whitten, R.O., Gardiner, J., Hoar, B., Lindley, J., Lochhead, J., McCormick, A., Wade, K., Tembo, M., Mwenechanya, J., Molyneux, M.E., & Taylor, T.E. (2000). Clinical-histopathological correlation of the abnormal retinal vessels in cerebral malaria. Arch Ophthalmol, (118), 924–928.
Patton, N., Aslam, T., MacGillivray, T., Pattie, A., Deary, I.J., & Dhillon, B. (2005). Retinal vascular image analysis as a potential screening tool for cerebrovascular disease: a rationale based on homology between cerebral and retinal microvasculatures. J Anat, (206), 319–348.
Taylor, T.E., Fu, W.J., Carr, R.A., Whitten, R.O., Mueller, J.G., Fosiko, N.G., Lewallen, S., Liomba, N.G., & Molyneux, M.E. (2004). Differentiating the pathologies of cerebral malaria by postmortem parasite counts. Nat Med, (10), 143–145.
White, V.A., Lewallen, S., Beare, N., Kayira, K., Carr, R.A., & Taylor, T.E. (2001). Correlation of retinal hemorrhages with brain hemorrhages in children dying of cerebral malaria in Malawi. Trans R Soc Trop Med Hyg, (95), 618–621.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2010 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Glover, S.J., Kawaza, K., Chimalizeni, Y., Molyneux, M.E. (2010). What Can We Learn from the Retina in Severe Malaria?. In: Finn, A., Curtis, N., Pollard, A. (eds) Hot Topics in Infection and Immunity in Children VI. Advances in Experimental Medicine and Biology, vol 659. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-0981-7_8
Download citation
DOI: https://doi.org/10.1007/978-1-4419-0981-7_8
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4419-0980-0
Online ISBN: 978-1-4419-0981-7
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)