Cited by 175Malaria Research and ControlPhytochemical compounds biological activitiesHemoglobinopathies and Related Disorders

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Persistence of Plasmodium falciparum HRP-2 in successfully treated acute falciparum malaria

Mayxay, Mayfong, Pukrittayakamee, Sasithon, Chotivanich, Kesinee, Looareesuwan, Sornchai, White, Nicholas J.·2001·Transactions of the Royal Society of Tropical Medicine and Hygiene

DOI 10.1016/s0035-9203(01)90156-7

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Abstract

The potential for Plasmodium falciparum histidine-rich protein-2 (PfHRP-2) dipstick tests to predict antimalarial treatment failure was investigated in a prospective study in Thailand of 38 patients admitted with severe malaria and 54 hospitalized with uncomplicated P. falciparum infections. Of these, 40 had subsequent recrudescence of their infections. Overall, 89% of patients with severe malaria and 61% of patients with uncomplicated malaria had positive PfHRP-2 dipstick tests for > 2 weeks following the start of treatment. Persistence was correlated positively with admission parasite counts, PfHRP-2 intensity scores and disease severity. PfHRP-2 tests which remained positive for > 2 weeks and PfHRP-2 reactive intensity scores on admission, at day 7 and day 14 did not predict treatment failure independent of admission parasitaemia. Freezing and thawing the blood samples did not significantly affect PfHRP-2 results tested by the dipstick technique. The PfHRP-2 dipstick test provides a useful indicator of recent severe malaria, but does not predict the therapeutic response.

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Additional file 2 of Molecular investigation of malaria-infected patients in Djibouti city (2018–2021)
Moussa, R. A., Mze, N. P., Arreh, H. Y., Hamoud, A. A., Alaleh, K. M., Omar, A.-R. Y., Abdi, W. O., Guelleh, S. K., Abdi, A. A., Aboubaker, M. H., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22735632
High Burden of Asymptomatic Malaria Among Schoolchildren in Nigeria: Diagnosis Challenges and pfhrp2 Deletions
la Fuente, I. M., Akindele, A. A., Ta‐Tang, T., Ramírez, A. M., González, V., Sossou, I. T., Adedokun, S. A., Capote‐Morales, R., Llanes, A. B., Nassar, S. A., et al. (2026) · Pathogens · doi:10.3390/pathogens15080779

Authors: Mayxay, M., Pukrittayakamee, S., Chotivanich, K., Looareesuwan, S., & White, N. J.
Affiliations: Mahidol University (TH)
ORCID: Mayxay, Mayfong
Pukrittayakamee, Sasithon
Chotivanich, Kesinee
White, Nicholas J.
Venue: Transactions of the Royal Society of Tropical Medicine and Hygiene
Publisher: Oxford University Press (OUP)
Published: 2001-03
Volume: 95
Issue: 2
Pages: 179-182
ISSN: 0035-9203 (ISSN-L)
DOI: 10.1016/s0035-9203(01)90156-7
OpenAlex: W2012795621
Cited by: 175
References: 28
Citations by year: 2026: 1 · 2025: 8 · 2024: 7 · 2023: 6 · 2022: 5 · 2021: 4 · 2020: 5 · 2019: 6 · 2018: 8 · 2017: 7 · 2016: 4 · 2015: 13 · 2014: 12 · 2013: 11 · 2012: 11
FWCI: 3.47
Type: journal article
Language: en
Open access: closed
Locations: Transactions of the Royal Society of Tropical Medicine and Hygiene (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Malaria Research and Control
Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Drug Discovery › Phytochemical compounds biological activities
Health Sciences › Medicine › Genetics (clinical) › Hemoglobinopathies and Related Disorders
Keywords: Plasmodium falciparum, HRP-2, treatment failure prediction, malaria recrudescence, severe malaria, uncomplicated falciparum malaria, parasitemia
MeSH terms: Histidine-Rich Glycoprotein, Adult, Antimalarials, Humans, Prospective Studies, Proteins, Reagent Kits, Diagnostic, Recurrence, Sensitivity and Specificity, Specimen Handling, Cryopreservation, Malaria, Falciparum, Treatment Failure

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Persistence of Plasmodium falciparum HRP-2 in successfully treated acute falciparum malaria

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