Ocular lesions associated with malaria in children in Mali.

Jean François Schémann Institute of African Tropical Ophthalmology, Bamako, Mali. jfschemann@wanados.fr

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Ogobara Doumbo Institute of African Tropical Ophthalmology, Bamako, Mali. jfschemann@wanados.fr

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Denis Malvy Institute of African Tropical Ophthalmology, Bamako, Mali. jfschemann@wanados.fr

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Lamine Traore Institute of African Tropical Ophthalmology, Bamako, Mali. jfschemann@wanados.fr

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Abdoulaye Kone Institute of African Tropical Ophthalmology, Bamako, Mali. jfschemann@wanados.fr

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Toumanni Sidibe Institute of African Tropical Ophthalmology, Bamako, Mali. jfschemann@wanados.fr

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Marouf Keita Institute of African Tropical Ophthalmology, Bamako, Mali. jfschemann@wanados.fr

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DOI:
https://doi.org/10.4269/ajtmh.2002.67.61
Volume/Issue:
Volume 67: Issue 1
Page(s):
61–63
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This study sought to estimate the frequency of ocular complications in malaria and its prognostic value in Mali. A total of 140 children (aged 6 months to 9 years) with severe malaria (105 with cerebral malaria, 35 without neurological complications) were compared with 34 children with mild malaria and 82 children with nonmalarial fever. Ocular lesions were rare in the mild malaria group (5.8%). Retinal hemorrhages occurred in 11.8% of the children in the severe noncerebral malaria group. Cerebral malaria was associated with retinal hemorrhages (22.9%) and retinal edema (10.5%). No association was found between ocular signs such as retinal hemorrhages or retinal edema and mortality. Exudates, papilledema, and the presence of cottonwool spots were associated with an increased risk of death. Coma score and convulsions were significantly associated with death but not with ocular signs. The presence of retinal signs in a child in a malaria-endemic area may signal a case of severe malaria.

Author Notes

Published Online:
Jul 2002
Cover The American Journal of Tropical Medicine and Hygiene
The American Journal of Tropical Medicine and Hygiene
Print ISSN:
0002-9637
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