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Plasmodium malariae Prevalence and csp Gene Diversity, Kenya, 2014 and 2015
Journal article   Open access   Peer reviewed

Plasmodium malariae Prevalence and csp Gene Diversity, Kenya, 2014 and 2015

Eugenia Lo, Kristie Nguyen, Jennifer Nguyen, Elizabeth Hemming-Schroeder, Jiaobao Xu, Harrisone Etemesi, Andrew Githeko and Guiyun Yan
Emerging infectious diseases, v 23(4), pp 601-610
01 Apr 2017
PMID: 28322694
url
https://doi.org/10.3201/eid2304.161245View
Published, Version of Record (VoR) Open

Abstract

Immunology Infectious Diseases Life Sciences & Biomedicine Science & Technology
In Africa, control programs that target primarily Plasmodium falciparum are inadequate for eliminating malaria. To learn more about prevalence and genetic variability of P. malariae in Africa, we examined blood samples from 663 asymptomatic and 245 symptomatic persons from western Kenya during June-August of 2014 and 2015. P. malariae accounted for 5.3% (35/663) of asymptomatic infections and 3.3% (8/245) of clinical cases. Among asymptomatic persons, 71% (32/45) of P. malariae infections detected by PCR were undetected by microscopy. The low sensitivity of microscopy probably results from the significantly lower parasitemia of P. malariae. Analyses of P. malariae circumsporozoite protein gene sequences revealed high genetic diversity among P. malariae in Africa, but no clear differentiation among geographic populations was observed. Our findings suggest that P. malariae should be included in the malaria elimination strategy in Africa and highlight the need for sensitive and field- applicable methods to identify P. malariae in malaria- endemic areas.

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Immunology
Infectious Diseases
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