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2025 | 60 | 504-515

Article title

Malaria fever and patients with sickle cell anemia: a retrospective study

Content

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Languages of publication

EN

Abstracts

EN
Sickle cell disease is a hereditary condition that poses a significant health risk in tropical Africa, and it has been observed that this condition can worsen in conjunction with malaria. Therefore, this study used a retrospective cohort design to analyze malaria fever occurrences in patients with or without sickle cell disease who were admitted to Ifako Ijaye General Hospital in Lagos State, Nigeria, between 2017 and 2020. The findings reveal that 52.5% of the total admitted patients were male, while 47.5% were female. The age distribution shows that 49.2% of the patients were 1-10 years old, making it the largest percentage, followed by the 11-20 years at 30.3%. The admission rates for malaria were 17.0% in 2017, 23.2% in 2018, 21.1% in 2019, and peaked at 38.7% in 2020, representing the highest proportion of admitted patients. The mortality analysis indicated that 55.7% of the deceased patients were male, while 44.3% were female. A significant majority of the mortality cases, 85.8%, were among children aged 1-10 years, highlighting that this demographic is the most susceptible to malaria, regardless of gender. While the number of patients with sickle cell anaemia was lower among the admitted malaria cases, they accounted for a significant portion of the mortality rate compared to those without sickle cell disease.

Discipline

Year

Volume

60

Pages

504-515

Physical description

Contributors

author
  • Department of Biological Sciences, National Open University of Nigeria, Abuja, Nigeria
author
  • Department of Biological Sciences, National Open University of Nigeria, Abuja, Nigeria
author
  • Department of Radiology, Federal Teaching Hospital, Owerri, Imo State, Nigeria
author
  • Department of Pure and Applied Zoology, Federal University of Agriculture, Abeokuta, Ogun State, Nigeria
author
  • Department of Ear, Nose and Throat (ENT), Federal Teaching Hospital, Owerri, Imo State, Nigeria
author
  • Department of Ear, Nose and Throat (ENT), Federal Teaching Hospital, Owerri, Imo State, Nigeria

References

  • [1] Abdullahi, A. A. and Abubakar, A. D. (2019). Why it is difficult to eradicate malaria in Sub-Saharan Africa. Perspectives on Global Development and Technology, 18(3), 269-285
  • [2] Adegoke, S. A., Figueiredo, M. S., Adekile, A. D. and Braga, J. A. P. (2017). Comparative study of the growth and nutritional status of Brazilian and Nigerian school-aged children with sickle cell disease. International Health, 9(6), 327-334. doi:10.1093/inthealth/ihx035
  • [3] A. Adekeye, J. Ndako, S. Owa, B. A. Oyekanmi, I. Bunmi Ajisafe and A. O. Owolabi. Hemolytic Anemia Induced by Infectious Agents: Diagnostic and Treatment approaches. 2024 International Conference on Science, Engineering and Business for Driving Sustainable Development Goals (SEB4SDG), Omu-Aran, Nigeria, 2024, pp. 1-8, doi: 10.1109/SEB4SDG60871.2024.10630069
  • [4] Akingbola, T. S., Tayo, B. O., Salako. B. et al. (2014). Comparison of patients from Nigeria and the USA highlights modifiable risk factors for sickle cell anemia complications. Hemoglobin; 38, 236-243
  • [5] Aloni, M. N., Tshimanga, B. K. Ekulu, P. M., Ehungu, J. L. and Ngiyulu, R. M. (2013). Malaria, clinical features and acute crisis in children suffering from sickle cell disease in resource-limited settings: a retrospective description of 90 cases. Pathog Glob Health 107(4), 198-201. doi: 10.1179/2047773213Y.0000000089
  • [6] Buffet, P. A., Safeukui, I., Deplaine, G. et al. (2011) The pathogenesis of Plasmodium falciparum malaria in humans: insights from splenic physiology. Blood 117, 381-392
  • [7] Diallo, D. A., Baraïka, M. A., Guindo, A., Dembélé, A. K. and Moukodoum, N. D. (2019). Plasmodium falciparum malaria frequency; Pfdhps and PfDHFR polymorphisms associated with severe resistance in febrile sickle cell children receiving intermittent treatment with Sulfadoxine-Pyrimethamine in a west African country. J Biomed Res Prac 3(1), 100014
  • [8] Ehimen, C. A., Davidson, H. H. and Christopher, J. G. (2013) Systematic review of current and emerging strategies for reducing morbidity from malaria in sickle cell disease. Tropical Medicine and International Health 18(3), 313-327
  • [9] Eleonore, N. L. E., Cumber, S. N., Charlotte, E. E. and Lucas, E. E. (2020). Malaria in patients with sickle cell anaemia: burden, risk factors and outcome at the Laquintinie hospital, Cameroon. BMC Infectious Diseases 20, 40. https://doi.org/10.1186/s12879-019-4757
  • [10] Lagunju, I. A. and Brown, B. J. (2012). Adverse neurological outcomes in Nigerian children with sickle cell disease. Int. J Hematology. 96, 710-718. DOI 10.1007/s12185-012-1204-9
  • [11] Piel, F. B., Hay, S. I., Gupta, S., Weatherall, D. J. and Williams, T. N. (2013) Global burden of sickle cell anaemia in children under five, 2010-2050: Modelling based on demographics, excess mortality, and interventions. PLoS Med. 10(7): e1001484
  • [12] Ruiz Lopez, del P. G., Hernán García, C., Moreno C. L., Fernández, E. V., Muñoz, M. M. F., Delgado, M. A. and Andrés, G. I. (2014). Malaria in developing countries. The Journal of Infection in Developing Countries 8(1), 001-004. doi:10.3855/jidc.4610
  • [13] Taylor, S. M., Cerami, C. and Fairhurst, R. M. (2013). Hemoglobinopathies: slicing the Gordian knot of Plasmodium falciparum malaria pathogenesis. PLoS Pathog. 9(5), e1003327
  • [14] Taylor, S. M., Parobek, C. M. and Fairhurst, R. M. (2012). Haemoglobinopathies and the clinical epidemiology of malaria: a systematic review and meta-analysis. The Lancet Infectious Diseases, 12(6), 457-468
  • [15] Tshilolo, L. M., Mukendi, R. K. and Wembonyama, S. O. (2007). Blood transfusion rate in Congolese patients with sickle cell anemia. Indian J Pediatr. 74, 735-738

Document Type

article

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.psjd-d85087a3-c93d-479a-b09f-dbc6ef918f8e
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