Table 1. Comparison of the clinical data, histopathological changes and clinical complications in severe malaria cases with and without ARDS.
Parameter | Non-ARDS | ARDS | p-value |
---|---|---|---|
Clinical data and complications | |||
Age (year) | 3–54 (25.0 ± 15.8) | 15–35 (22.7 ± 6.1) | 0.690 |
Parasitaemia/μL upon admission | 606,595.50 ± 778,259.56 | 393,787.77 ± 470,155.51 | 0.456 |
Anaemia (%) | 75.0 (15/20) | 55.6 (5/9) | 0.266 |
Jaundice (%) | 75.0 (15/20) | 77.8 (7/9) | 0.631 |
Pneumonia (%) | 25.0 (5/20) | 77.8 (7/9) | 0.012 |
Acute renal failure (%) | 45.0 (9/20) | 0.0 (0/9) | 0.017 |
Acidosis (%) | 35.0 (7/20) | 33.3 (3/9) | 0.636 |
Shock (%) | 15.0 (3/20) | 22.2 (2/9) | 0.502 |
Systemic bleeding (%) | 0.0 (0/20) | 55.6 (5/9) | 0.001 |
Hypoglycaemia (%) | 10.0 (2/20) | 11.1 (1/9) | 0.688 |
Cerebral malaria (%) | 70.0 (14/20) | 55.6 (5/9) | 0.364 |
Quantitative lung ultrastructure | |||
% PRBCs sequestration | 55.5 ± 40.34 | 75.0 ± 36.09 | 0.206 |
Malarial pigment/grid square | 10.8 ± 6.63 | 22.6 ± 11.76 | 0.002 |
Histopathological changes (median score) | |||
Pulmonary oedema (%) | 65 (13/20) | 77.8 (7/9) | 0.041 |
Alveolar expansion | 1.63 ± 1.11 | 1.40 ± 0.84 | 0.540 |
Septal congestion | 1.78 ± 0.92 | 1.70 ± 0.48 | 0.776 |
Malarial pigment | 1.75 ± 0.93 | 2.40 ± 0.84 | 0.040 |
Alveolar haemorrhage | 0.69 ± 0.98 | 2.00 ± 0.94 | 0.001 |
PRBCs sequestration | 1.48 ± 1.06 | 1.30 ± 0.82 | 0.617 |
WBC accumulation | 2.03 ± 0.72 | 2.20 ±0.42 | 0.489 |
Hyaline membrane formation | 0.0 ± 0.0 | 1.30 ± 0.67 | 0.000 |
Note; ARDS; acute respiratory distress syndrome, PRBS; parasitized red blood cells, WBC; white blood cell, %; percent, μL; microlitter