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Journal of Tropical Pediatrics 1999 45(3):166-167; doi:10.1093/tropej/45.3.166
© 1999 by Oxford University Press
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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 KivibidilaZ,A1, RP WarrierZ, D OdeZ, L YuZ and KA TshefuZZ

Z Louisiana State University, School of Medicine, Pediatrics, Box T8-1, Division of Hematology/Oncology, 1542 Tulane Avenue, New Orleans, LA 70112, USA ZZ Zaïre School of Public Health, University of Kinshasa, Medical School, Kinshasa, Zaïre A1 Corresponding author

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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