Changes in lipid plasma levels during malaria attacks have been propos
ed for use in diagnosis or to assess the severity of the disease. In o
rder to analyse the plasma levels of cholesterol, triglycerides, HDLC
ef LDL-C, we compared, in an endemic area (Sao Tome island), two group
s of patients children infected with Plasmodium falciparum (simple mal
aria attack and cerebral malaria) with a control group of asymptomatic
children. No correlation between lipid plasma levels and disease seve
rity was found. Correlations between lipids and parasitemia or anemia
were analysed. The mechanism of plasma lipid changes during attack are
discussed.