This study carried out from January to June 2007, was
undertaken to describe the clinical presentation of childhood malaria
in Douala, a meso-endemic area as far as malaria transmission is concerned.
One hundred and seventy eight children were enrolled after informed consent
of their parents. The sample characteristics were recorded and clinical
as well as preliminary laboratory investigations were performed. Thirty
eight children coming for vaccination and counselling was targeted to
serve as control. According to the results obtained, cerebral malaria
(CM) seems to be associated with young age, whilst Malaria anaemia (MA)
was predominant among older children. Hyperpyrexia and hyperparasitaemia
were high among CM patients and 11.1% of them died, however, no neurological
squeal was noticed immediately after discharge on those who survived.
Haemoglobin and glycaemia were low on MA and CM patients; these groups
had low percentage in bed nets utilization as well. These results suggest
that the clinical presentation of the disease differ with the geographic
location and malaria disease features varies according to the severity.
Such studies could contribute to the management of the disease.
J.B. Pankoui Mfonkeu, I. Gouado, H. Fotso Kuate, O. Zambou, G. Grau, V. Combes and P.H. Amvam Zollo, 2008. Clinical Presentation, Haematological Indices and Management of
Children with Severe and Uncomplicated Malaria in Douala, Cameroon. Pakistan Journal of Biological Sciences, 11: 2401-2406.