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dc.contributor.authorPolrat Wilairatanaen_US
dc.contributor.authorEli K. Westerlunden_US
dc.contributor.authorBoonrut Aursudkijen_US
dc.contributor.authorSuparp Vannaphanen_US
dc.contributor.authorSrivicha Krudsooden_US
dc.contributor.authorParnpen Viriyavejakulen_US
dc.contributor.authorWatcharee Chokejindachaien_US
dc.contributor.authorSombat Treeprasertsuken_US
dc.contributor.authorPranee Srisuriyaen_US
dc.contributor.authorVictor R. Gordeuken_US
dc.contributor.authorGary M. Brittenhamen_US
dc.contributor.authorGuy Neilden_US
dc.contributor.authorSornchai Looareesuwanen_US
dc.contributor.otherMahidol Universityen_US
dc.contributor.otherGeorge Washington University Medical Centeren_US
dc.contributor.otherMetroHealth Medical Center Clevelanden_US
dc.contributor.otherMiddlesex Hospital Londonen_US
dc.identifier.citationAmerican Journal of Tropical Medicine and Hygiene. Vol.60, No.2 (1999), 233-237en_US
dc.description.abstractWe studied 112 patients with malarial acute renal failure (ARF) during the period 1991-1997 at Bangkok Hospital for Tropical Diseases (Mahidol University, Bangkok, Thailand). Hemodialysis was performed in 101 (90.2%) of these patients. The mean number of times the patients were hemodialyzed was 6.5 (range = 1-27). Ninety-three (83.0%) patients were oliguric and the remainder were nonoliguric. Patients who had oliguric renal failure required more hemodialyses and had more complications than the nonoliguric patients. The oliguric patients had an eight-fold higher risk of requiring six or more hemodialyses (95% confidence interval = 1.2-53.9, P = 0.0008). The overall mortality rate was 10.7% (12 of 112). Eleven of the patients who died were jaundiced and eight of them had cerebral malaria with a Glasgow Coma Score ≤ 8. We conclude that hemodialysis is a useful treatment for oliguric and nonoliguric ARF from severe malaria, particularly when initiated early in the course of the illness.en_US
dc.rightsMahidol Universityen_US
dc.subjectImmunology and Microbiologyen_US
dc.titleTreatment of malarial acute renal failure by hemodialysisen_US
Appears in Collections:Scopus 1991-2000

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