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Journal of Tropical Pediatrics 1997 43(4):217-219; doi:10.1093/tropej/43.4.217
© 1997 by Oxford University Press
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Protein Energy Malnutrition and Cerebral Malaria in Nigerian Children

P. E. Olumese*, O. Sodeinde**, O. G. Ademowo*** and O. Walker*

*Departments of Pharmacology & Therapeutics, College of Medicine, University of Ibadan Nigeria
**Departments of Paediatrics College of Medicine, University of Ibadan Nigeria
***Departments of Postrgraduate Institute of Medical Research & Training, College of Medicine, University of Ibadan Nigeria

Eight (14 per cent) out of 57 consecutive cerebral malaria patients (all <5 years old) were malnourished, including one with marasmus and another recovering from kwashiorkor. This was significantly lower than among other paediatric patients in the same children's emergency ward (112/319, i.e 35 per cent, P < 0.01). Poor outcomes (death or recovery with neurological deficits) were commoner in the malnourished group (4/8) than the well nourished group (7/49) (P = 0.037, Fisher's exact test). Malnourished children should receive malaria chemoprophylaxis during nutritional rehabilitation.


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