Several studies suggest parasite density is higher in
acutely malnourished children, an indicator of more severe disease.
Vitamin A deficiency and measles both degrade epithelial cells, the protective coating on the organs, which is why secondary infections are much more common and much more severe in
acutely malnourished children.
And
some acutely malnourished children have no fever or other malaria symptoms initially — but can quickly develop severe, life - threatening disease.