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Previous Volume 333:1011-1012 October 12, 1995 Number 15 Next

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To the Editor: Marsh et al. (May 25 issue)¹ identified impaired consciousness, respiratory distress, hypoglycemia, and jaundice as ominous prognostic indicators in African children with a primary diagnosis of malaria. Our findings, made in a different setting (the urban environment of Ouagadougou, capital of Burkina Faso in West Africa), support these data but raise some additional points.

During the rainy seasons of 1993 and 1994, 739 children with severe malaria (age, 6 months to 15 years; mean [±SD], 4.55±3.03 years) who were admitted to the pediatric ward of Ouagadougou University Hospital were included in a study aimed at relating immune . . . [Full Text of this Article]

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