Oumar A A, Poudiougou B, Sylla M, Sall A, Konate S, Togo B, Diakite M, Keita M M
Département d'épidémiologie des affections parasitaires, faculty of medicine, pharmacy and odontostomatology, BP 1805, Bamako, Mali.
Arch Pediatr. 2007 Aug;14(8):993-5. doi: 10.1016/j.arcped.2007.04.005. Epub 2007 May 23.
Blackwater fever is a rare but serious form of malaria in children. Diagnosis relies on clinical symptoms and on the color of the urines.
To describe blackwater fever in children, a disease whose prevalence seems to be increasing.
We report 3 cases of blackwater fever observed in our institution.
In 2 cases, acute renal insufficiency with oligoanuria was observed. In all the 3 cases, treatment with quinine was stopped and replaced by injectable artemether. Evolution was dependent on renal function, and included in 1 patient neurological sequels consisting in aphasia.
Blackwater fever is a severe affection whose diagnosis should be evoked using the color of urine. Evolution is usually favorable in the pediatric population, when adequate care can be provided.
黑水热是儿童疟疾中一种罕见但严重的形式。诊断依赖于临床症状和尿液颜色。
描述儿童黑水热这一患病率似乎在上升的疾病。
我们报告在本机构观察到的3例黑水热病例。
2例出现急性肾功能不全伴少尿。3例均停用奎宁治疗，改用注射用蒿甲醚。病情演变取决于肾功能，1例患者出现失语的神经后遗症。
黑水热是一种严重疾病，应根据尿液颜色考虑诊断。在儿科人群中，若能提供充分治疗，病情通常预后良好。
