Pathophysiology of severe forms of falciparum malaria.

We studied 26 patients with severe falciparum malaria who were admitted to an ICU in Namibia. The pathophysiologic effects on various organ systems are documented and the mortality associated with organ failure is reported. Patients with three or more organ failures showed a high mortality, especially when pulmonary or renal failure occurred. Predicted mortality based on the Acute Physiology and Chronic Health Evaluation II scoring system was 34% compared to an actual mortality of 38%.