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Parasite Multiplication Potential and the Severity of Falciparum Malaria
Open accessAbstract
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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Citations
Cited by
The pathogenic basis of malaria
Miller, L. H., Baruch, D. I., Marsh, K., & Doumbo, O. K. (2002) · Nature · doi:10.1038/415673a · Cited by 1,746
Asymptomatic malaria infections: detectability, transmissibility and public health relevance
Bousema, T., Okell, L., Felger, I., & Drakeley, C. (2014) · Nature Reviews Microbiology · doi:10.1038/nrmicro3364 · Cited by 696
Imperfect vaccines and the evolution of pathogen virulence
Gandon, S., Mackinnon, M. J., Nee, S., & Read, A. F. (2001) · Nature · doi:10.1038/414751a · Cited by 630
The pathophysiology of vivax malaria
Anstey, N. M., Russell, B., Yeo, T. W., & Price, R. N. (2009) · Trends in Parasitology · doi:10.1016/j.pt.2009.02.003 · Cited by 428
White, N. J. (2017) · Malaria Journal · doi:10.1186/s12936-017-1731-1 · Cited by 230
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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
- Publisher
- Oxford University Press (OUP)
- 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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- 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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