Reduced splenic function can mimic artemisinin resistance in severe malaria

We describe severe post-treatment episodes that complicate Plasmodium falciparum malaria in patients with hyposplenism, characterized by prolonged circulation of red cells containing dead parasites (hearse red cells), persistent or recurrent fever, profound anaemia, and inflammation. Asplenia-relate...

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Veröffentlicht in:Journal of travel medicine 2023-12, Vol.30 (8)
Hauptverfasser: Roussel, Camille, Serris, Alexandra, Henry, Benoît, Lafon Desmurs, Barthelemy, Sitterlé, Emilie, Bougnoux, Marie Elisabeth, Argy, Nicolas, Larréché, Sébastien, De Montalembert, Mariane, Ioos, Vincent, Tantaoui, Ilhame, Chambrion, Charlotte, Fricot, Aurélie, Rouzaud, Claire, Lanternier, Fanny, Lortholary, Olivier, Houzé, Sandrine, Jauréguiberry, Stéphane, Thellier, Marc, Ndour, Papa Alioune, Buffet, Pierre
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Sprache:eng
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Zusammenfassung:We describe severe post-treatment episodes that complicate Plasmodium falciparum malaria in patients with hyposplenism, characterized by prolonged circulation of red cells containing dead parasites (hearse red cells), persistent or recurrent fever, profound anaemia, and inflammation. Asplenia-related Post-antimalarial Inflammation & Hemolysis (APIH) mimics concomitant infection and parasite resistance to drugs.
ISSN:1195-1982
1708-8305
DOI:10.1093/jtm/taad144