title: [Blackwater fever in children during cerebral malaria: 3 case reports in Bamako].
abstract: BACKGROUND
  Blackwater fever is a rare but serious form of malaria in children. Diagnosis relies on clinical symptoms and on the color of the urines.
  
  
  OBJECTIVE
  To describe blackwater fever in children, a disease whose prevalence seems to be increasing.
  
  
  METHODS
  We report 3 cases of blackwater fever observed in our institution.
  
  
  RESULTS
  In 2 cases, acute renal insufficiency with oligoanuria was observed. In all the 3 cases, treatment with quinine was stopped and replaced by injectable artemether. Evolution was dependent on renal function, and included in 1 patient neurological sequels consisting in aphasia.
  
  
  CONCLUSIONS
  Blackwater fever is a severe affection whose diagnosis should be evoked using the color of urine. Evolution is usually favorable in the pediatric population, when adequate care can be provided.
authors.affiliation: Département d'épidémiologie des affections parasitaires, faculty of medicine, pharmacy and odontostomatology, BP 1805, Bamako, Mali. alabmai@yahoo.fr
authors.forename: A A
authors.initials: AA
authors.lastname: Oumar
authors.forename: B
authors.initials: B
authors.lastname: Poudiougou
authors.forename: M
authors.initials: M
authors.lastname: Sylla
authors.forename: A
authors.initials: A
authors.lastname: Sall
authors.forename: S
authors.initials: S
authors.lastname: Konate
authors.forename: B
authors.initials: B
authors.lastname: Togo
authors.forename: M
authors.initials: M
authors.lastname: Diakite
authors.forename: M M
authors.initials: MM
authors.lastname: Keita
mesh_terms: D058186:Acute Kidney Injury / Q000188:drug therapy / Q000469:parasitology; D000962:Antimalarials / Q000627:therapeutic use; D000077549:Artemether; D037621:Artemisinins / Q000627:therapeutic use; D001742:Blackwater Fever / Q000188:drug therapy / Q000469:parasitology*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D016779:Malaria, Cerebral / Q000150:complications* / Q000188:drug therapy; D008297:Male; D008302:Mali; D009846:Oliguria / Q000188:drug therapy / Q000469:parasitology
chemical_list: D000962:Antimalarials; D037621:Artemisinins; D000077549:Artemether