Pathophysiological and prognostic significance of cerebrospinal-fluid lactate in cerebral malaria.

Cerebrospinal-fluid (CSF) lactate concentrations were elevated in all but 1 of 45 patients with cerebral malaria. They were significantly higher in patients who died (9.0 +/- 5.3 mmol/l, mean +/- SD) than in survivors (3.4 +/- 1.1 mmol/l, p = 0.0002) and had returned to normal values in each of 9 pa...

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Main Authors: White, N, Warrell, D, Looareesuwan, S, Chanthavanich, P, Phillips, R, Pongpaew, P
格式: Journal article
语言:English
出版: 1985
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author White, N
Warrell, D
Looareesuwan, S
Chanthavanich, P
Phillips, R
Pongpaew, P
author_facet White, N
Warrell, D
Looareesuwan, S
Chanthavanich, P
Phillips, R
Pongpaew, P
author_sort White, N
collection OXFORD
description Cerebrospinal-fluid (CSF) lactate concentrations were elevated in all but 1 of 45 patients with cerebral malaria. They were significantly higher in patients who died (9.0 +/- 5.3 mmol/l, mean +/- SD) than in survivors (3.4 +/- 1.1 mmol/l, p = 0.0002) and had returned to normal values in each of 9 patients studied after recovery of consciousness. There was a significant negative correlation between CSF lactate and CSF glucose. All 11 patients with CSF lactate concentrations above 6 mmol/l died. CSF lactate is thus an important prognostic indicator in cerebral malaria and these findings suggest that hypoxia contributes to the pathogenesis of this disorder.
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spelling oxford-uuid:48bacf2c-d972-43da-bee3-ff8dc0752eba2022-03-26T15:27:28ZPathophysiological and prognostic significance of cerebrospinal-fluid lactate in cerebral malaria.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:48bacf2c-d972-43da-bee3-ff8dc0752ebaEnglishSymplectic Elements at Oxford1985White, NWarrell, DLooareesuwan, SChanthavanich, PPhillips, RPongpaew, PCerebrospinal-fluid (CSF) lactate concentrations were elevated in all but 1 of 45 patients with cerebral malaria. They were significantly higher in patients who died (9.0 +/- 5.3 mmol/l, mean +/- SD) than in survivors (3.4 +/- 1.1 mmol/l, p = 0.0002) and had returned to normal values in each of 9 patients studied after recovery of consciousness. There was a significant negative correlation between CSF lactate and CSF glucose. All 11 patients with CSF lactate concentrations above 6 mmol/l died. CSF lactate is thus an important prognostic indicator in cerebral malaria and these findings suggest that hypoxia contributes to the pathogenesis of this disorder.
spellingShingle White, N
Warrell, D
Looareesuwan, S
Chanthavanich, P
Phillips, R
Pongpaew, P
Pathophysiological and prognostic significance of cerebrospinal-fluid lactate in cerebral malaria.
title Pathophysiological and prognostic significance of cerebrospinal-fluid lactate in cerebral malaria.
title_full Pathophysiological and prognostic significance of cerebrospinal-fluid lactate in cerebral malaria.
title_fullStr Pathophysiological and prognostic significance of cerebrospinal-fluid lactate in cerebral malaria.
title_full_unstemmed Pathophysiological and prognostic significance of cerebrospinal-fluid lactate in cerebral malaria.
title_short Pathophysiological and prognostic significance of cerebrospinal-fluid lactate in cerebral malaria.
title_sort pathophysiological and prognostic significance of cerebrospinal fluid lactate in cerebral malaria
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AT chanthavanichp pathophysiologicalandprognosticsignificanceofcerebrospinalfluidlactateincerebralmalaria
AT phillipsr pathophysiologicalandprognosticsignificanceofcerebrospinalfluidlactateincerebralmalaria
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