Biochemical and haematological measurements were made in Gambian children w
ho satisfied the criteria for the diagnosis of cerebral malaria over a 3-ye
ar period. Biochemical and haematological values were available for 388 and
624 children, respectively. Biochemical signs of renal and hepatic dysfunc
tion were found and these may have contributed in a cumulative way to the h
igh mortality seen in the study children. Cerebral involvement in children
with cerebral malaria is only one, though the most important, manifestation
of a multi-organ disease.