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Parasite Multiplication Potential and the Severity of Falciparum Malaria

Open access
Chotivanich, Kesinee, Udomsangpetch, Rachanee, Simpson, Julie A., Newton, Paul, Pukrittayakamee, Sasithon, Looareesuwan, Sornchai, White, Nicholas J.·2000·The Journal of Infectious Diseases

Abstract

The multiplication rates and invasiveness of Plasmodium falciparum parasites isolated from adult Thai patients hospitalized with uncomplicated malaria (n=34) were compared with those from persons with severe malaria (n=42). To simulate severe malaria and control for host effects, the in vitro cultures were adjusted to 1% parasitemia and used the same red blood cell donor. P. falciparum isolates from persons with severe malaria had initial cycle multiplication rates in vitro that were 3-fold higher than those from uncomplicated malaria (median [95% confidence interval], 8.3 [7. 1-10.5] vs. 2.8 [1.7-3.9]; P=.001). Parasites causing severe malaria exhibited unrestricted red blood cell invasion, whereas those from uncomplicated malaria were restricted to a geometric mean of 40 (31%-53%) of red blood cells. P. falciparum parasites causing severe malaria were less selective and multiplied more at high parasitemias than those causing uncomplicated malaria.

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Metadata

Authors
Chotivanich, K., Udomsangpetch, R., Simpson, J. A., Newton, P., Pukrittayakamee, S., Looareesuwan, S., & White, N. J.
Venue
The Journal of Infectious Diseases
Published
2000-03
Volume
181
Issue
3
Pages
1206-1209
ISSN
  • 0022-1899 (ISSN-L)
  • 1537-6613
OpenAlex
W2171479498
Cited by
191
References
0
FWCI
9.38
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Parasite Multiplication Potential and the Severity of Falciparum Malaria. https://app.cochat.ai/papers/10.1086/315353
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Chotivanich, K., Udomsangpetch, R., Simpson, J. A., Newton, P., Pukrittayakamee, S., Looareesuwan, S., & White, N. J. (2000). Parasite Multiplication Potential and the Severity of Falciparum Malaria. The Journal of Infectious Diseases. https://doi.org/10.1086/315353

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