An etiologic study of hemoglobinuria and blackwater fever in the Kivu Mountains, Zaire.

An etiologic study of hemoglobinuria and blackwater fever in the Kivu Mountains, Zaire. Research Abstract Details 

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An etiologic study of hemoglobinuria and blackwater fever in the Kivu Mountains, Zaire. Abstract Text:

C Delacollette,H Taelman,M Wery,

Between January 1985 and March 1986, in the high altitude area of Kivu, Eastern Zaïre, 38 patients presenting with hemoglobinuria as main manifestation were investigated. Profound glucose-6-phosphate dehydrogenase deficiency was detected in 4 patients, leptospirosis in 2 and Hantaan virus infection in 2. Hemolysis was doubtful (haptoglobin > 40 mg/dl, Hemoglobin > 12 g/dl) in 2 patients. Other potential causes of hemoglobinuria such as hemoglobinopathy, toxic agents, infectious diseases or blood transfusion incompatibility were carefully screened and excluded. The syndrome observed in the remaining 28 cases was strongly suggestive of blackwater fever (BWF) as described in malaria patients by several authors under the french name "fièvre bilieuse hémoglobinurique". Quinine was used as curative treatment of malaria before admission in a significant greater proportion (p < 0.01) of patients with BWF compared to patients with uncomplicated malaria, suggesting that this drug might have played a triggering role in the genesis of BWF. However, quinine was usually administered at inadequate doses to malaria patients non responding to chloroquine and belonging to a population of whom 50% are non immune. It may thus also be hypothesized that BWF in our patients could result from a hyperparasitemic state that remained undetected because of an unusual synchronous lysis of infected erythrocytes. In the latter case BWF would correspond to a major complication of falciparum malaria only coincidentally related to the use of quinine.

An etiologic study of hemoglobinuria and blackwater fever in the Kivu Mountains, Zaire. Publishing Authors By Initials

C Delacollette,H Taelman,M Wery,

For similar heterocyclic compounds: alkaloids: cinchona alkaloids: quinine research abstracts see: heterocyclic compounds: alkaloids: cinchona alkaloids: quinine research

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An etiologic study of hemoglobinuria and blackwater fever in the Kivu Mountains, Zaire. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Annales de la Société belge de médecine tropicale

VOLUME: 75

Page Numbers: 51-63

Journal Abbreviation:

ISSN: 0772-4128

DAY: 20

MONTH: Mar

YEAR: 1995

An etiologic study of hemoglobinuria and blackwater fever in the Kivu Mountains, Zaire. Information

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LANGUAGE: eng

NlmUniqueID: 7511864

An etiologic study of hemoglobinuria and blackwater fever in the Kivu Mountains, Zaire. Keywords Mesh Terms:

KEYWORDS: Quinine

MESH TERMS: therapeutic use

Chemical & Substance for Abstract: An etiologic study of hemoglobinuria and blackwater fever in the Kivu Mountains, Zaire. Information

Substance Name: Chloroquine

Registry Number: 54-05-7

Grant and Affiliation Information for An etiologic study of hemoglobinuria and blackwater fever in the Kivu Mountains, Zaire.

AFFILIATION: Lutte contre les Maladies Transmissibles et Carentielles, Bujumbura, Burundi.

Country: BELGIUM

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MEDLINETA: Ann Soc Belg Med Trop

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