title: Sleeping sickness in children.
abstract: Twenty-three cases of Sleeping Sickness in children have been analysed at the Arthur Davison Hospital and Mukinge Hospital during the past five years. The overall mortality was 34.8%. This was especially high when trypanosomes were found in the CSF (43.8%), in patients with a CSF cell count greater than 101/cumm (50.0%), and in patients with associated protein calorie malnutrition (PCM) (30.0%). Some clinical features of sleeping sickness (SS) in children are discussed and the therapeutic approach reviewed. The importance of early diagnosis is stressed.
mesh_terms: D000293:Adolescent; D000740:Anemia / Q000150:complications; D002555:Cerebrospinal Fluid / Q000469:parasitology; D002556:Cerebrospinal Fluid Proteins; D002648:Child; D002675:Child, Preschool; D003695:Delivery of Health Care; D005260:Female; D006454:Hemoglobins; D006801:Humans; D007223:Infant; D008297:Male; D010272:Parasitic Diseases / Q000150:complications; D014344:Trypanocidal Agents / Q000627:therapeutic use; D014345:Trypanosoma / Q000302:isolation & purification; D014352:Trypanosomiasis / Q000453:epidemiology* / Q000401:mortality / Q000473:pathology; D015024:Zambia
chemical_list: D002556:Cerebrospinal Fluid Proteins; D006454:Hemoglobins; D014344:Trypanocidal Agents