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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.

Original publication

DOI

10.1093/ofid/ofx169

Type

Journal article

Journal

Open Forum Infect Dis

Publication Date

2017

Volume

4

Keywords

PfHRP2, Plasmodium falciparum, malaria severity, parasite biomass, parasite multiplication rate