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NOT Open Access | Delayed haemolysis following artesunate in a child with profound anaemia and Coca-Cola-coloured urine

December 23, 2020 - 08:27 -- NOT Open Access
Author(s): 
Patel N, Thomson J, Re Ferre L
Reference: 
BMJ Case Rep. 2020 Dec 17;13(12):e238361

An 8-year-old girl of African descent presented to the hospital with a headache, lethargy, pallor and 'Coca-Cola'-coloured urine. She had been admitted 11 days before with Plasmodium falciparum malaria, which was successfully treated with 48 hours of parenteral artesunate. Investigations revealed signs of severe haemolytic anaemia, with a haemoglobin level of 52 g/L that reached a nadir of 10 g/L within 4 hours, in addition to haemoglobinuria, hyperbilirubinaemia and raised lactate dehydrogenase levels.

Two treatments, one disease: childhood malaria management in Tanga, Tanzania

October 29, 2009 - 12:30 -- Ingeborg van Schayk
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Author(s): 
Deshka Foster, Stacie Vilendrer
Reference: 
Malaria Journal 2009, 8:240 (27 October 2009)

In the Tanga District of coastal Tanzania, malaria is one of the primary causes of mortality for children under the age of five. While some children are treated with malaria medications in biomedical facilities, as the World Health Organization recommends, others receive home-care or treatment from traditional healers. 

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