Zinc, copper and C-reactive protein in children with severe Plasmodium falciparum malaria in an area of unstable malaria transmission in eastern Sudan

J Trop Pediatr. 2013 Apr;59(2):150-3. doi: 10.1093/tropej/fms056. Epub 2012 Oct 26.

Abstract

Background: Few data exist on the role of trace element in the pathogenesis of severe malaria.

Objectives: The study was conducted at Kassala Hospital, eastern Sudan, to investigate the role of zinc, copper and C-reactive protein levels in children with severe Plasmodium falciparum malaria.

Methods: Zinc, copper and C-reactive protein levels were measured in sera of three groups of children (35 in each arm): those with severe malaria, those with uncomplicated P. falciparum malaria and healthy controls.

Results: Although the zinc levels were significantly lower, the levels of copper and C-reactive protein were significantly higher in patients with severe P. falciparum. There was a significant inverse correlation between zinc and C-reactive protein and significant positive correlation between copper and C-reactive protein.

Conclusion: The change in zinc and copper may play a role in pathogenesis of P. falciparum malaria.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Analysis of Variance
  • Biomarkers / blood
  • C-Reactive Protein / metabolism*
  • Child
  • Child, Preschool
  • Copper / blood*
  • Female
  • Humans
  • Malaria, Falciparum / blood
  • Malaria, Falciparum / transmission*
  • Male
  • Plasmodium falciparum / isolation & purification
  • Severity of Illness Index
  • Socioeconomic Factors
  • Sudan
  • Zinc / blood*

Substances

  • Biomarkers
  • Copper
  • C-Reactive Protein
  • Zinc