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An imported malaria case with repeated episodes of neurological syndromes resulting from different Plasmodium species
Imported cerebral malaria (CM) cases in non-endemic areas are often misdiagnosed, which delays treatment. Post-malaria neurological syndrome (PMNS) after recovery from severe malaria can also complicate diagnosis. We report an imported malaria case from West Africa with two sequential episodes with...
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| Published in: | BMC infectious diseases 2024-01, Vol.24 (1), p.41-41, Article 41 |
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| creator | Xiang, Zheng Zhou, Longcan Pan, Maohua Qin, Yucheng Bai, Yao Qin, Pien Zeng, Weilin Wei, Xiaosheng Lu, Yuxin Somboonwit, Charurut Menezes, Lynette Huang, Yaming Cui, Liwang Yang, Zhaoqing |
| description | Imported cerebral malaria (CM) cases in non-endemic areas are often misdiagnosed, which delays treatment. Post-malaria neurological syndrome (PMNS) after recovery from severe malaria can also complicate diagnosis.
We report an imported malaria case from West Africa with two sequential episodes with neurological syndromes within about a month. The first episode was diagnosed as CM with microscopy-positive Plasmodium falciparum infection. The second episode, occurring a month after the recovery from the first CM episode, was consistent with PMNS, since malaria parasites were not detected by microscopy in peripheral blood smears. However, this diagnosis was complicated by the detection of Plasmodium vivax in peripheral blood by PCR, suggesting a potential cause of the second episode by P. vivax.
This study suggests that PMNS often occurs after severe falciparum malaria. Concurrent P. vivax infection with pathogenic biomass being predominantly extravascular further complicates accurate diagnosis. |
| doi_str_mv | 10.1186/s12879-023-08872-y |
| format | article |
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We report an imported malaria case from West Africa with two sequential episodes with neurological syndromes within about a month. The first episode was diagnosed as CM with microscopy-positive Plasmodium falciparum infection. The second episode, occurring a month after the recovery from the first CM episode, was consistent with PMNS, since malaria parasites were not detected by microscopy in peripheral blood smears. However, this diagnosis was complicated by the detection of Plasmodium vivax in peripheral blood by PCR, suggesting a potential cause of the second episode by P. vivax.
This study suggests that PMNS often occurs after severe falciparum malaria. Concurrent P. vivax infection with pathogenic biomass being predominantly extravascular further complicates accurate diagnosis.</description><identifier>ISSN: 1471-2334</identifier><identifier>EISSN: 1471-2334</identifier><identifier>DOI: 10.1186/s12879-023-08872-y</identifier><identifier>PMID: 38172708</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Antiparasitic agents ; Blood ; Care and treatment ; Case Report ; Cerebral malaria ; Coma ; Complications and side effects ; Consciousness ; Control ; Dehydrogenases ; Diagnosis ; Disorders ; Health aspects ; Hospitals ; Humans ; Identification and classification ; Infection ; Infections ; Malaria ; Malaria, Cerebral - complications ; Malaria, Cerebral - diagnosis ; Malaria, Falciparum - complications ; Malaria, Falciparum - diagnosis ; Malaria, Falciparum - parasitology ; Malaria, Vivax - complications ; Malaria, Vivax - diagnosis ; Malaria, Vivax - parasitology ; Medical diagnosis ; Microscopy ; Mortality ; Neurologic manifestations of general diseases ; Parasites ; Peripheral blood ; Physicians ; Plasmodium ; Plasmodium falciparum ; Plasmodium vivax ; Plasmodium vivax - genetics ; Post-malaria neurological syndrome ; Recovery ; Sequential episodes ; Travel ; Vector-borne diseases ; Ventilators ; West Africa</subject><ispartof>BMC infectious diseases, 2024-01, Vol.24 (1), p.41-41, Article 41</ispartof><rights>2023. The Author(s).</rights><rights>COPYRIGHT 2024 BioMed Central Ltd.</rights><rights>2024. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c583t-f6f912fc1bcee4f3721a8b403df5a07f7ea25502f4e442b1d9c2fb38c789b63d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10763073/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2914278872?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38172708$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Xiang, Zheng</creatorcontrib><creatorcontrib>Zhou, Longcan</creatorcontrib><creatorcontrib>Pan, Maohua</creatorcontrib><creatorcontrib>Qin, Yucheng</creatorcontrib><creatorcontrib>Bai, Yao</creatorcontrib><creatorcontrib>Qin, Pien</creatorcontrib><creatorcontrib>Zeng, Weilin</creatorcontrib><creatorcontrib>Wei, Xiaosheng</creatorcontrib><creatorcontrib>Lu, Yuxin</creatorcontrib><creatorcontrib>Somboonwit, Charurut</creatorcontrib><creatorcontrib>Menezes, Lynette</creatorcontrib><creatorcontrib>Huang, Yaming</creatorcontrib><creatorcontrib>Cui, Liwang</creatorcontrib><creatorcontrib>Yang, Zhaoqing</creatorcontrib><title>An imported malaria case with repeated episodes of neurological syndromes resulting from different Plasmodium species</title><title>BMC infectious diseases</title><addtitle>BMC Infect Dis</addtitle><description>Imported cerebral malaria (CM) cases in non-endemic areas are often misdiagnosed, which delays treatment. Post-malaria neurological syndrome (PMNS) after recovery from severe malaria can also complicate diagnosis.
We report an imported malaria case from West Africa with two sequential episodes with neurological syndromes within about a month. The first episode was diagnosed as CM with microscopy-positive Plasmodium falciparum infection. The second episode, occurring a month after the recovery from the first CM episode, was consistent with PMNS, since malaria parasites were not detected by microscopy in peripheral blood smears. However, this diagnosis was complicated by the detection of Plasmodium vivax in peripheral blood by PCR, suggesting a potential cause of the second episode by P. vivax.
This study suggests that PMNS often occurs after severe falciparum malaria. Concurrent P. vivax infection with pathogenic biomass being predominantly extravascular further complicates accurate diagnosis.</description><subject>Antiparasitic agents</subject><subject>Blood</subject><subject>Care and treatment</subject><subject>Case Report</subject><subject>Cerebral malaria</subject><subject>Coma</subject><subject>Complications and side effects</subject><subject>Consciousness</subject><subject>Control</subject><subject>Dehydrogenases</subject><subject>Diagnosis</subject><subject>Disorders</subject><subject>Health aspects</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Identification and classification</subject><subject>Infection</subject><subject>Infections</subject><subject>Malaria</subject><subject>Malaria, Cerebral - complications</subject><subject>Malaria, Cerebral - diagnosis</subject><subject>Malaria, Falciparum - complications</subject><subject>Malaria, Falciparum - diagnosis</subject><subject>Malaria, Falciparum - parasitology</subject><subject>Malaria, Vivax - complications</subject><subject>Malaria, Vivax - diagnosis</subject><subject>Malaria, Vivax - parasitology</subject><subject>Medical diagnosis</subject><subject>Microscopy</subject><subject>Mortality</subject><subject>Neurologic manifestations of general diseases</subject><subject>Parasites</subject><subject>Peripheral blood</subject><subject>Physicians</subject><subject>Plasmodium</subject><subject>Plasmodium falciparum</subject><subject>Plasmodium vivax</subject><subject>Plasmodium vivax - genetics</subject><subject>Post-malaria neurological syndrome</subject><subject>Recovery</subject><subject>Sequential episodes</subject><subject>Travel</subject><subject>Vector-borne diseases</subject><subject>Ventilators</subject><subject>West Africa</subject><issn>1471-2334</issn><issn>1471-2334</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNqNkk1v1DAQhiMEomXhD3BAlrjAIcUf2dg-oVXFx0qVivi6Wo49Tr1K4mAnwP57nG4pXcQB-WBr5pnXmpm3KJ4SfEaIqF8lQgWXJaasxEJwWu7vFaek4qSkjFX377xPikcp7TAmXFD5sDhhgnDKsTgt5s2AfD-GOIFFve509BoZnQD98NMVijCCXlIw-hQsJBQcGmCOoQutN7pDaT_YGPqciZDmbvJDi1wOIOudgwjDhD50OvXB-rlHaQTjIT0uHjjdJXhyc6-KL2_ffD5_X15cvtueby5KsxZsKl3tJKHOkMYAVI5xSrRoKsysW2vMHQdN12tMXQVVRRtipaGuYcJwIZuaWbYqtgddG_ROjdH3Ou5V0F5dB0JslY6TNx0oq6mtobK1WePKaSmkZrXjTDrCMKd11np90BrnpgdrcmdRd0eix5nBX6k2fFcE8zpLsKzw4kYhhm8zpEn1PhnoOj1AmJOikmAiKc4Nrornf6G7MMchz2qhKsqXff-hWp078IML-WOziKoNz6vGspIkU2f_oPKx0HsTBnA-x48KXh4VZGaCn1Or55TU9tPH_2cvvx6z9MCaGFKK4G6HR7BaHK0OjlbZ0era0Wqfi57dHfttyW8Ls18w0fFO</recordid><startdate>20240103</startdate><enddate>20240103</enddate><creator>Xiang, Zheng</creator><creator>Zhou, Longcan</creator><creator>Pan, Maohua</creator><creator>Qin, Yucheng</creator><creator>Bai, Yao</creator><creator>Qin, Pien</creator><creator>Zeng, Weilin</creator><creator>Wei, Xiaosheng</creator><creator>Lu, Yuxin</creator><creator>Somboonwit, Charurut</creator><creator>Menezes, Lynette</creator><creator>Huang, Yaming</creator><creator>Cui, Liwang</creator><creator>Yang, Zhaoqing</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QL</scope><scope>7T2</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20240103</creationdate><title>An imported malaria case with repeated episodes of neurological syndromes resulting from different Plasmodium species</title><author>Xiang, Zheng ; Zhou, Longcan ; Pan, Maohua ; Qin, Yucheng ; Bai, Yao ; Qin, Pien ; Zeng, Weilin ; Wei, Xiaosheng ; Lu, Yuxin ; Somboonwit, Charurut ; Menezes, Lynette ; Huang, Yaming ; Cui, Liwang ; Yang, Zhaoqing</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c583t-f6f912fc1bcee4f3721a8b403df5a07f7ea25502f4e442b1d9c2fb38c789b63d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Antiparasitic agents</topic><topic>Blood</topic><topic>Care and treatment</topic><topic>Case Report</topic><topic>Cerebral malaria</topic><topic>Coma</topic><topic>Complications and side effects</topic><topic>Consciousness</topic><topic>Control</topic><topic>Dehydrogenases</topic><topic>Diagnosis</topic><topic>Disorders</topic><topic>Health aspects</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Identification and classification</topic><topic>Infection</topic><topic>Infections</topic><topic>Malaria</topic><topic>Malaria, Cerebral - complications</topic><topic>Malaria, Cerebral - diagnosis</topic><topic>Malaria, Falciparum - complications</topic><topic>Malaria, Falciparum - diagnosis</topic><topic>Malaria, Falciparum - parasitology</topic><topic>Malaria, Vivax - complications</topic><topic>Malaria, Vivax - diagnosis</topic><topic>Malaria, Vivax - parasitology</topic><topic>Medical diagnosis</topic><topic>Microscopy</topic><topic>Mortality</topic><topic>Neurologic manifestations of general diseases</topic><topic>Parasites</topic><topic>Peripheral blood</topic><topic>Physicians</topic><topic>Plasmodium</topic><topic>Plasmodium falciparum</topic><topic>Plasmodium vivax</topic><topic>Plasmodium vivax - genetics</topic><topic>Post-malaria neurological syndrome</topic><topic>Recovery</topic><topic>Sequential episodes</topic><topic>Travel</topic><topic>Vector-borne diseases</topic><topic>Ventilators</topic><topic>West Africa</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Xiang, Zheng</creatorcontrib><creatorcontrib>Zhou, Longcan</creatorcontrib><creatorcontrib>Pan, Maohua</creatorcontrib><creatorcontrib>Qin, Yucheng</creatorcontrib><creatorcontrib>Bai, Yao</creatorcontrib><creatorcontrib>Qin, Pien</creatorcontrib><creatorcontrib>Zeng, Weilin</creatorcontrib><creatorcontrib>Wei, Xiaosheng</creatorcontrib><creatorcontrib>Lu, Yuxin</creatorcontrib><creatorcontrib>Somboonwit, Charurut</creatorcontrib><creatorcontrib>Menezes, Lynette</creatorcontrib><creatorcontrib>Huang, Yaming</creatorcontrib><creatorcontrib>Cui, Liwang</creatorcontrib><creatorcontrib>Yang, Zhaoqing</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database (Proquest)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>BMC infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Xiang, Zheng</au><au>Zhou, Longcan</au><au>Pan, Maohua</au><au>Qin, Yucheng</au><au>Bai, Yao</au><au>Qin, Pien</au><au>Zeng, Weilin</au><au>Wei, Xiaosheng</au><au>Lu, Yuxin</au><au>Somboonwit, Charurut</au><au>Menezes, Lynette</au><au>Huang, Yaming</au><au>Cui, Liwang</au><au>Yang, Zhaoqing</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An imported malaria case with repeated episodes of neurological syndromes resulting from different Plasmodium species</atitle><jtitle>BMC infectious diseases</jtitle><addtitle>BMC Infect Dis</addtitle><date>2024-01-03</date><risdate>2024</risdate><volume>24</volume><issue>1</issue><spage>41</spage><epage>41</epage><pages>41-41</pages><artnum>41</artnum><issn>1471-2334</issn><eissn>1471-2334</eissn><abstract>Imported cerebral malaria (CM) cases in non-endemic areas are often misdiagnosed, which delays treatment. Post-malaria neurological syndrome (PMNS) after recovery from severe malaria can also complicate diagnosis.
We report an imported malaria case from West Africa with two sequential episodes with neurological syndromes within about a month. The first episode was diagnosed as CM with microscopy-positive Plasmodium falciparum infection. The second episode, occurring a month after the recovery from the first CM episode, was consistent with PMNS, since malaria parasites were not detected by microscopy in peripheral blood smears. However, this diagnosis was complicated by the detection of Plasmodium vivax in peripheral blood by PCR, suggesting a potential cause of the second episode by P. vivax.
This study suggests that PMNS often occurs after severe falciparum malaria. Concurrent P. vivax infection with pathogenic biomass being predominantly extravascular further complicates accurate diagnosis.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>38172708</pmid><doi>10.1186/s12879-023-08872-y</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Antiparasitic agents Blood Care and treatment Case Report Cerebral malaria Coma Complications and side effects Consciousness Control Dehydrogenases Diagnosis Disorders Health aspects Hospitals Humans Identification and classification Infection Infections Malaria Malaria, Cerebral - complications Malaria, Cerebral - diagnosis Malaria, Falciparum - complications Malaria, Falciparum - diagnosis Malaria, Falciparum - parasitology Malaria, Vivax - complications Malaria, Vivax - diagnosis Malaria, Vivax - parasitology Medical diagnosis Microscopy Mortality Neurologic manifestations of general diseases Parasites Peripheral blood Physicians Plasmodium Plasmodium falciparum Plasmodium vivax Plasmodium vivax - genetics Post-malaria neurological syndrome Recovery Sequential episodes Travel Vector-borne diseases Ventilators West Africa |
| title | An imported malaria case with repeated episodes of neurological syndromes resulting from different Plasmodium species |
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