Reduced hepatic blood flow and intestinal malabsorption in severe falciparum malaria.
We have studied intestinal function and liver blood flow in Thai adults with complicated and uncomplicated falciparum malaria. The absorption of 3 orally administered test sugars, D-xylose, 3-O-methyl-D-glucose, and L-rhamnose, was greatly reduced in complicated malaria, while the lactulose/rhamnose absorption ratio was significantly increased. Hepatic blood flow was concomitantly reduced in severe malaria. These deviations reverted to normal in convalescence. Neither sugar absorption nor liver blood flow was reduced in uncomplicated falciparum malaria.
Molyneux
M E
ME
Liverpool School of Tropical Medicine.
Looareesuwan
S
S
Menzies
I S
IS
Grainger
S L
SL
Phillips
R E
RE
Wattanagoon
Y
Y
Thompson
R P
RP
Warrell
D A
DA
D000293:Adolescent; D000328:Adult; D000818:Animals; D001783:Blood Flow Velocity; D050260:Carbohydrate Metabolism; D002241:Carbohydrates / Q000652:urine; D006801:Humans; D007408:Intestinal Absorption; D007413:Intestinal Mucosa / Q000378:metabolism*; D008102:Liver Circulation; D008288:Malaria / Q000150:complications / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged
D002241:Carbohydrates