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Is there a role for bedside ultrasound in malaria? A survey of the literature

  • Paolo Malerba
  • Daniel Kaminstein
  • Enrico Brunetti
  • Tommaso ManciulliEmail author
Review Article

Abstract

Purpose

Point-of-care ultrasound (POCUS) has proven utility in the evaluation and treatment of many tropical diseases. Its role in malaria has been studied, but its value for the clinician at the bedside is unclear. Our review aimed at summarizing the existing studies to assess the usefulness, if any, of POCUS in treating malaria.

Methods

We used Boolean operators using keywords “malaria”, “acoustic”, “ultrasound”, “echography”, and “ultrasonography” to search PubMed, Scopus, and Science Direct in three languages (Italian, French, and English).

Results

We found 22 eligible references. Organs explored include the liver, spleen, heart, optic nerve sheath diameter (ONSD), kidney, lungs, and cerebral vasculature. Multiple pathologic findings by ultrasound are reported, but few demonstrate clinical utility. Current studies involve small numbers of patients, and a few trends emerge when studies are compared. The ability to combine study results is limited due to the significant heterogeneity that exists between studies in regards to both methods of evaluation and the reporting of organ pathology and malaria severity.

Conclusions and assessment

A review of the current literature indicates that the use of ultrasound by clinicians adds little to the diagnostic evaluation of patients with malaria. Our review did find that measurements of the spleen, lungs, optic nerve sheath diameter, and cerebral blood flow have potential utility in specific patient populations. Further studies are needed to evaluate whether this utility persists when a larger sample size is used.

Keywords

Malaria Ultrasound Diagnosis Cerebral malaria 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

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Copyright information

© Società Italiana di Ultrasonologia in Medicina e Biologia (SIUMB) 2019
corrected publication 2019

Authors and Affiliations

  1. 1.Department of Clinical-Surgical, Diagnostic and Pediatric SciencesUniversity of PaviaPaviaItaly
  2. 2.Department of Emergency MedicineMedical College of Georgia at Augusta UniversityAugustaGeorgia
  3. 3.Department of Infectious DiseasesIRCCS Policlinico San Matteo Hospital FundationPaviaItaly
  4. 4.PhD School of Experimental MedicineUniversity of PaviaPaviaItaly

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