Journal Article

Brief report. Lack of difference in iron status assessed by soluble transferrin receptor between children with cerebral malaria and those with non-cerebral malaria

S Kivibidila, RP Warrier, D Ode, L Yu and KA Tshefu

in Journal of Tropical Pediatrics

Volume 45, issue 3, pages 166-167
Published in print June 1999 | ISSN: 0142-6338
Published online June 1999 | e-ISSN: 1465-3664 | DOI: http://dx.doi.org/10.1093/tropej/45.3.166
Brief report. Lack of difference in iron status assessed by soluble transferrin receptor between children with cerebral malaria and those with non-cerebral malaria

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We conducted this study to determine whether children with cerebral malaria are less likely to have tissue iron deficiency than those with non-cerebral malaria. Iron status was assessed by soluble transferrin receptor (sTfR), serum ferritin, and haemoglobin in 44 Zaïran children: 15 with cerebral malaria, 14 with non-cerebral malaria, and 15 without malaria (age range 0.5-16 years). Although there was no significant difference in the mean concentrations of sTfR, serum ferritin, or haemoglobin between either group of patients, a higher percentage of children with cerebral malaria (7 per cent) than those with non-cerebral malaria (14 per cent) or controls (7%) had sTfR levels above 7.3 mg/l (suggestive of tissue iron deficiency). A higher percentage of children with cerebral malaria (40 per cent) than with non-cerebral malaria (29 per cent) or controls (20 per cent) also had either serum ferritin <100 μg/l and inflammation or sTfR >7.3 mg/l or both. The data suggest that children with cerebral malaria are as likely to have tissue iron deficiency as those with non-cerebral malaria.

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Subjects: Paediatrics ; Antitrust Issues and Policies

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