[Malaria in infants in a rural area of maritime Guinea (Guinea Conakry). II. Development of antimalarial antibodies and malaria during the first year of life]. / Impaludation du nourrisson dans une zone rurale de Guinée maritime (Guinée Conakry). II-Evolution des anticorps antipaludéens et impaludation au cours de la première année de vie.
Bull Soc Pathol Exot
; 91(4): 291-6, 1998.
Article
em Fr
| MEDLINE
| ID: mdl-9846219
ABSTRACT
A transversal investigation carried out on 551 children and a longitudinal study of 55 infants showed the disappearance of maternal anti-plasmodium antibodies during the first year of life. Out of 212 new-borns surveyed for one year, 59 (28%) were infested by Plasmodium, but never during the first two months of life. This infestation was not related to the age of the infant nor to the season. For 46% of cases, infestation was completely asymptomatic, for 18% of cases respiratory signs were present and for 20% digestive signs not specific to malaria. Fever was present in 14 cases (24%) and isolated in 6 cases. Only 7 infants received a specific antimalarial treatment. Evolution under medical surveillance was favourable in all cases. These findings prove the difficulties inherent to the diagnosis of malaria, especially in the absence of laboratories for diagnosing other infections--such as typhoid--which do not appear in sanitary statistics. The findings also raise the question as to the efficiency of systematic antimalarial treatment in case of fever in the infant or child. Asymptomatic parasitemia can be explained by the existence of antitoxic immunity different from antiplasmodia immunity.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Plasmodium
/
População Rural
/
Anticorpos Antiprotozoários
/
Malária
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Animals
/
Humans
/
Infant
/
Newborn
País/Região como assunto:
Africa
Idioma:
Fr
Revista:
Bull Soc Pathol Exot
Ano de publicação:
1998
Tipo de documento:
Article