[Ocular changes as a diagnostic tool for malaria].

Autor: Faber H; Universitäts-Augenklinik Tübingen, Universitätsklinikum Tübingen, Tübingen, Deutschland. hanna.faber@med.uni-tuebingen.de.; Department für Augenheilkunde, Universitätsklinikum Tübingen, Tübingen, Deutschland, Elfriede-Aulhorn-Str. 7, 72076. hanna.faber@med.uni-tuebingen.de., Berens P; Department für Augenheilkunde, Universitätsklinikum Tübingen, Tübingen, Deutschland, Elfriede-Aulhorn-Str. 7, 72076.; Tübingen AI Center, Tübingen, Deutschland., Rohrbach JM; Universitäts-Augenklinik Tübingen, Universitätsklinikum Tübingen, Tübingen, Deutschland.
Jazyk: němčina
Zdroj: Die Ophthalmologie [Ophthalmologie] 2022 Jul; Vol. 119 (7), pp. 693-698. Date of Electronic Publication: 2021 Dec 23.
DOI: 10.1007/s00347-021-01554-7
Abstrakt: Background: According to the WHO Malaria Report 2019 a total of 229 million people fall ill with malaria each year and two thirds of deaths involve children under 5 years of age.
Aim: To review the fundus changes in the context of malaria and the importance of ophthalmoscopy in the diagnosis.
Material and Methods: Summary of changes in cerebral malaria visible on fundus examination, possible underlying pathomechanisms and the value of ophthalmoscopy in practice.
Results: Retinal findings in malaria include white or gray staining of the retina (retinal whitening), color change of retinal vessels (orange or white staining), hemorrhages often with a white center, such as Roth's spot and papilledema.
Discussion: The retinal changes in malaria are specific and may help to differentiate malaria from other causes of coma and fever. Smartphone-based fundus photography and artificial intelligence could support malaria diagnostics particularly in resource-poor regions.
(© 2021. The Author(s).)
Databáze: MEDLINE
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