Evidence map›Paper›PMID 42662655›Full record

ArticleCureus2026

Acute Kidney Injury (AKI) in Severe Plasmodium falciparum Malaria Among Adult Sudanese Patients in Kosti Teaching Hospital, 2025.

Ziryab Imad, Shazer Mubarak Mohamedkhair Mohamed, Mustafa Awad, Tarig Alhadi Madibbo Ahmed

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Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Ziryab ImadInternal Medicine, Haj El-Safi Teaching Hospital, Khartoum North, SDN.
Shazer Mubarak Mohamedkhair MohamedInternal Medicine, University of El Imam El Mahdi, Khartoum, SDN.
Mustafa AwadInternal Medicine, Al Neelain University, Khartoum, SDN.
Tarig Alhadi Madibbo AhmedMedicine, University of Bahri, Khartoum, SDN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Acute kidney injury (AKI) is a frequent and serious complication of severe malaria (SM), contributing significantly to morbidity and mortality. In endemic regions like Sudan, AKI complicates the clinical course of SM, yet detailed demographic, clinical, and outcome data remain limited. Aim This study aimed to characterize the demographic profile, clinical features, management strategies, and outcomes of AKI in patients with SM in Sudan. Methods A cross-sectional analysis of 100 SM patients with AKI was conducted in Kosti Teaching Hospital from February to May 2025. Data on demographics, comorbidities, malaria complications, AKI severity (classified via Kidney Disease: Improving Global Outcomes (KDIGO) criteria), treatment regimens, contributing factors, interventions, and outcomes were collected from medical records. The statistical analysis was performed using SPSS (IBM SPSS Statistics for Windows, IBM Corp., Version 26.0, Armonk, NY). Results Patients were predominantly male (64 (64%)) with a mean age of 48 years (SD 22); 43 (43%) were under 40 years of age. Central Sudan residents comprised 67 (67%) of cases. Hyperparasitemia (92 (92%)), circulatory shock (58 (58%)), and prostration (44 (44%)) were frequent complications. Hypertension (36 (36%)) and diabetes (20 (20%)) were leading comorbidities. Artesunate was the primary treatment (68 (68%)). AKI severity included Stage 1 (44 (44%)), Stage 2 (28 (28%)), and Stage 3 (28 (28%)). Hypovolemia (95 (95%)) and sepsis (63 (63%)) were key contributors. Interventions included IV fluids (94 (94%)) and antibiotics (74 (74%)). Outcomes revealed full renal recovery in 55 (55%), partial recovery in 28 (28%), progression to chronic kidney disease in 13 (13%), and a four (4%) mortality rate. Conclusion SM-associated AKI in Sudan predominantly affects younger people as well as males and is frequently linked to hyperparasitemia, circulatory shock, and comorbid hypertension. Despite high rates of severe AKI, over half of patients achieve full renal recovery with appropriate treatment, though a notable proportion progress to chronic kidney disease or die.

Indexed as

acute kidney injuryclinical featuresmalariamalaria clinical featuresseverity of malaria

Identifiers

PMID42662655
PMCPMC13521315

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.