Disease Severity and Effective Parasite Multiplication Rate in Falciparum Malaria

Author:

Kingston Hugh W123,Ghose Aniruddha4,Plewes Katherine13,Ishioka Haruhiko1,Leopold Stije J13,Maude Richard J13,Paul Sanjib4,Intharabut Benjamas1,Silamut Kamorat1,Woodrow Charles13ORCID,Day Nicholas P J13,Chotivanich Kesinee1,Anstey Nicholas M2,Hossain Amir4,White Nicholas J13,Dondorp Arjen M13

Affiliation:

1. Mahidol Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand

2. Global and Tropical Health Division, Menzies School of Health Research and Charles Darwin University, Darwin, Northern Territory, Australia

3. Centre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, Churchill Hospital, Oxford, United Kingdom

4. Chittagong Medical College, Chittagong, Bangladesh

Abstract

Abstract Patients presenting with severe falciparum malaria in a Bangladeshi tertiary hospital had higher total parasite burden, estimated by parasitemia and plasma PfHRP2, than uncomplicated malaria patients despite shorter fever duration. This suggests that higher parasite multiplication rates (PMR) contribute to causing the higher biomass found in severe disease. Compared with patients without a history of previous malaria, patients with previous malaria carried a lower parasite biomass with similar fever duration at presentation, suggesting that host immunity reduces the PMR.

Funder

Wellcome Trust

National Health and Medical Research Council

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Oncology

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