Unusual blood smear with multiple stages of Plasmodium falciparum infection and intraleukocytic malaria pigments in an expatriate with severe malaria and delayed clearance of parasites

Author:

Javelle Emilie12345ORCID,Carvelli Julien678,Delandre Océane12345,Gendrot Mathieu12345,Fonta Isabelle12345,Mosnier Joel12345,Benoît Nicolas12345,Madamet Marilyn12345,L’Ollivier Coralie34,Pradines Bruno12345

Affiliation:

1. Unité Parasitologie et Entomologie , Département Microbiologie et Maladies Infectieuses, , Marseille 13005, France

2. Institut de Recherche Biomédicale des Armées (IRBA) , Département Microbiologie et Maladies Infectieuses, , Marseille 13005, France

3. Aix-Marseille University, IRD, SSA, AP-HM, VITROME , Marseille 13005, France

4. IHU Méditerranée Infection , Marseille 13005, France

5. Centre National de Référence du Paludisme , Marseille 13005, France

6. AP-HM, Department of Intensive Care, Réanimation des Urgences, Medicine Intensive & Reanimation, Timone University Hospital , Marseille 13005, France

7. Marseille Immunopôle, Timone University Hospital, CNRS, INSERM, CIML , Marseille 13005, France

8. Aix-Marseille University , Marseille 13005, France

Abstract

A French expatriate in Ethiopia presented with severe Plasmodium falciparum infection. The blood smear was remarkable associating multiple stages of parasites including circulating schizonts with a high rate of intraleukocytic malaria pigments. Under artesunate treatment, without polymorphism in PfK13 gene, delayed clearance of parasites occurred, probably following the massive merogony.

Funder

French Institute for Public Health Surveillance

Publisher

Oxford University Press (OUP)

Subject

General Medicine

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