Malaria: a haematological disease
Open accessAbstract
Plasmodium falciparum malaria remains a major cause of mortality throughout the tropical world. Haematological abnormalities are considered a hallmark of malaria, bearing an impact on final outcome and representing indices of prognostic and follow-up value. These include severe anaemia, coagulation disturbances, leukocyte numerical or functional changes and spleen involvement. Anaemia involves red blood cell lysis due to parasite invasion, as well as mechanisms of intravascular haemolysis and decreased erythropoiesis. Exchange or blood transfusion is mainly recommended in the management of these patients. Haemorrhagic complications in severe malaria are relatively rare despite prominent thrombocytopenia and dysfunction in the coagulation pathway. Numerical, as well as functional changes in the white blood cell are less dramatic than other blood cell series, but still, remain a significant index of disease progression and ultimate prognosis. Finally, the role of the spleen in severe malaria is multifactorial. Care and vigilance should be taken against splenic rupture which is fatal and can occur despite appropriate antimalarial prophylaxis and treatment.
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Plasmodium acquires iron from heme largely through lysis of red blood cells.
“which acquires iron from heme largely through lysis of red blood cells (Akinosoglou et al., 2012).”
From The Impact of Dietary Transition Metals on Host-Bacterial Interactions (2018) · cites this paper as Akinosoglou et al., 2012
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- Authors
- Akinosoglou, K. S., Solomou, E. E., & Gogos, C. A.
- Affiliations
- General University Hospital of Patras (GR)
- Corresponding author
- Akinosoglou, Karolina S.
- Venue
- Hematology
- Publisher
- Informa UK Limited
- Published
- 2012-03
- Volume
- 17
- Issue
- 2
- Pages
- 106-114
- ISSN
- 1024-5332 (ISSN-L)
- 1607-8454
- OpenAlex
- W2077580107
- Cited by
- 91
- References
- 152
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 10 · 2023: 9 · 2022: 10 · 2021: 8 · 2020: 13 · 2019: 4 · 2018: 7 · 2017: 4 · 2016: 4 · 2015: 2 · 2014: 6 · 2013: 4 · 2012: 1
- FWCI
- 4.01
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Hematology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Malaria Research and Control
- Health Sciences › Medicine › Genetics › Hemoglobinopathies and Related Disorders
- Health Sciences › Medicine › Physiology › Erythrocyte Function and Pathophysiology
- Keywords
- falciparum malaria, severe malaria, hematological abnormalities, anemia, coagulopathy, thrombocytopenia, leukocyte dysfunction, splenic involvement, splenic rupture, intravascular hemolysis, blood transfusion, prognosis
- MeSH terms
- Anemia, Antimalarials, Blood Coagulation, Blood Transfusion, Erythropoiesis, Hemolysis, Humans, Leukocytes, Plasmodium falciparum, Splenomegaly, Thrombocytopenia, Malaria, Falciparum
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