Cited by 170Malaria Research and ControlPregnancy and preeclampsia studiesGlobal Maternal and Child Health

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THE EFFECTS OF PLASMODIUM FALCIPARUM AND P. VIVAX INFECTIONS ON PLACENTAL HISTOPATHOLOGY IN AN AREA OF LOW MALARIA TRANSMISSION

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McGREADY, ROSE, DAVISON, BILLIE B., STEPNIEWSKA, KASIA, CHO, THEIN, SHEE, HTEE, BROCKMAN, ALAN, UDOMSANGPETCH, RACHANEE, LOOAREESUWAN, SORNCHAI, WHITE, NICHOLAS J., MESHNICK, STEVE R., NOSTEN, FRANÇOIS·2004·The American Journal of Tropical Medicine and Hygiene

DOI 10.4269/ajtmh.2004.70.398

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Abstract

Placental histopathology was studied in a cohort of 204 women living in an area of low Plasmodium falciparum and P. vivax malaria transmission. Detection of malaria antenatally was active, by weekly peripheral blood smears, and all infections were treated. Significant histopathologic placental malaria changes (increased malaria pigment, cytotrophoblastic prominence, and presence of parasites) were found only in a minority of women who had P. falciparum infections in pregnancy. These changes were significantly more frequent in women with evidence of peripheral blood infection close to delivery and only in these cases were placental inflammatory cells increased. Antenatal P. vivax infection was associated only with the presence of malaria pigment in the placenta. All placental infections diagnosed by blood smear and 32.4% (12 of 37) diagnosed by histopathology were associated with patent peripheral parasitemia. This study indicates that prompt treatment of peripheral parasitemias during pregnancy limits placental pathology. The effect on birth weight reduction may not result from irreversible placental changes but from the acute insult of infection. These findings emphasize the importance of treating malaria in pregnancy promptly with effective antimalarial drugs.

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Authors: McGREADY, R., DAVISON, B. B., STEPNIEWSKA, K., CHO, T., SHEE, H., BROCKMAN, A., UDOMSANGPETCH, R., LOOAREESUWAN, S., WHITE, N. J., MESHNICK, S. R., & NOSTEN, F.
Affiliations: University of North Carolina at Chapel Hill (US)
Shoklo Malaria Research Unit, Mae Sot, Thailand; Faculty of Tropical Medicine, and Faculty of Science, Mahidol University, Bangkok, Thailand; Centre for Clinical Vaccinology and Tropical Medicine, Churchill Hospital, Oxford, United Kingdom; Division of Comparative Pathology, Tulane National Primate Research Center, Covington, Louisiana; Departments of Epidemiology and Microbiology and Immunology, University of North Carolina, Chapel Hill, North Carolina
ORCID: McGREADY, ROSE
STEPNIEWSKA, KASIA
UDOMSANGPETCH, RACHANEE
WHITE, NICHOLAS J.
Venue: The American Journal of Tropical Medicine and Hygiene
Publisher: American Society of Tropical Medicine and Hygiene
Published: 2004-04
Volume: 70
Issue: 4
Pages: 398-407
ISSN: 0002-9637 (ISSN-L)
DOI: 10.4269/ajtmh.2004.70.398
OpenAlex: W2102655747
Cited by: 170
References: 46
Citations by year: 2026: 2 · 2025: 1 · 2023: 3 · 2022: 6 · 2021: 9 · 2020: 17 · 2019: 6 · 2018: 9 · 2017: 7 · 2016: 4 · 2015: 10 · 2014: 7 · 2013: 17 · 2012: 16
FWCI: 9.21
Type: journal article
Language: en
Open access: green
cdr.lib.unc.edu
Locations: American Journal of Tropical Medicine and Hygiene (publishedVersion)
PubMed (publishedVersion)
Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
UNC Libraries
Funders: National Institutes of Health (5r01ai042400-05)
National Institute of Allergy and Infectious Diseases (5R01AI42400)
National Center for Research Resources (P51-RR-00164, P51RR000164)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Malaria Research and Control
Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
Keywords: Plasmodium falciparum, Plasmodium vivax, placental malaria, placental pathology, malaria in pregnancy, hemozoin, placental inflammation, low malaria transmission
MeSH terms: Adolescent, Adult, Animals, Antimalarials, Female, Fetal Blood, Histocytochemistry, Humans, Infant, Low Birth Weight, Infant, Newborn, Placenta, Plasmodium falciparum, Plasmodium vivax, Pregnancy, Prospective Studies, Thailand, Cohort Studies, Pregnancy Complications, Parasitic, Malaria, Falciparum, Malaria, Vivax, Parasitemia

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THE EFFECTS OF PLASMODIUM FALCIPARUM AND P. VIVAX INFECTIONS ON PLACENTAL HISTOPATHOLOGY IN AN AREA OF LOW MALARIA TRANSMISSION

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