SERUM CYTOKINE PROFILES IN PATIENTS WITH PLASMODIUM VIVAX MALARIA: A COMPARISON BETWEEN THOSE WHO PRESENTED WITH AND WITHOUT HYPERPYREXIA

JU-YOUNG SEOH Department of Microbiology, Parasitology, Preventive Medicine, Internal Medicine, and Surgery, College of Medicine, Ewha Womans University, Seoul, Korea; Graduate School of Biotechnology, Korea University, Seoul, Korea; Korean Armed Forces Medical Command, Seongnam, Korea; Department of Microbiology, Gachon Medical School, Inchon, Korea

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MOHAMMAD KHAN Department of Microbiology, Parasitology, Preventive Medicine, Internal Medicine, and Surgery, College of Medicine, Ewha Womans University, Seoul, Korea; Graduate School of Biotechnology, Korea University, Seoul, Korea; Korean Armed Forces Medical Command, Seongnam, Korea; Department of Microbiology, Gachon Medical School, Inchon, Korea

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SE-HO PARK Department of Microbiology, Parasitology, Preventive Medicine, Internal Medicine, and Surgery, College of Medicine, Ewha Womans University, Seoul, Korea; Graduate School of Biotechnology, Korea University, Seoul, Korea; Korean Armed Forces Medical Command, Seongnam, Korea; Department of Microbiology, Gachon Medical School, Inchon, Korea

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HAE-KYUNG PARK Department of Microbiology, Parasitology, Preventive Medicine, Internal Medicine, and Surgery, College of Medicine, Ewha Womans University, Seoul, Korea; Graduate School of Biotechnology, Korea University, Seoul, Korea; Korean Armed Forces Medical Command, Seongnam, Korea; Department of Microbiology, Gachon Medical School, Inchon, Korea

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MYONG-HEON SHIN Department of Microbiology, Parasitology, Preventive Medicine, Internal Medicine, and Surgery, College of Medicine, Ewha Womans University, Seoul, Korea; Graduate School of Biotechnology, Korea University, Seoul, Korea; Korean Armed Forces Medical Command, Seongnam, Korea; Department of Microbiology, Gachon Medical School, Inchon, Korea

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EUN-HEE HA Department of Microbiology, Parasitology, Preventive Medicine, Internal Medicine, and Surgery, College of Medicine, Ewha Womans University, Seoul, Korea; Graduate School of Biotechnology, Korea University, Seoul, Korea; Korean Armed Forces Medical Command, Seongnam, Korea; Department of Microbiology, Gachon Medical School, Inchon, Korea

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BO-EUN LEE Department of Microbiology, Parasitology, Preventive Medicine, Internal Medicine, and Surgery, College of Medicine, Ewha Womans University, Seoul, Korea; Graduate School of Biotechnology, Korea University, Seoul, Korea; Korean Armed Forces Medical Command, Seongnam, Korea; Department of Microbiology, Gachon Medical School, Inchon, Korea

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KWON YOO Department of Microbiology, Parasitology, Preventive Medicine, Internal Medicine, and Surgery, College of Medicine, Ewha Womans University, Seoul, Korea; Graduate School of Biotechnology, Korea University, Seoul, Korea; Korean Armed Forces Medical Command, Seongnam, Korea; Department of Microbiology, Gachon Medical School, Inchon, Korea

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HO-SEONG HAN Department of Microbiology, Parasitology, Preventive Medicine, Internal Medicine, and Surgery, College of Medicine, Ewha Womans University, Seoul, Korea; Graduate School of Biotechnology, Korea University, Seoul, Korea; Korean Armed Forces Medical Command, Seongnam, Korea; Department of Microbiology, Gachon Medical School, Inchon, Korea

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SEJOONG OH Department of Microbiology, Parasitology, Preventive Medicine, Internal Medicine, and Surgery, College of Medicine, Ewha Womans University, Seoul, Korea; Graduate School of Biotechnology, Korea University, Seoul, Korea; Korean Armed Forces Medical Command, Seongnam, Korea; Department of Microbiology, Gachon Medical School, Inchon, Korea

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JUN-HWAN WI Department of Microbiology, Parasitology, Preventive Medicine, Internal Medicine, and Surgery, College of Medicine, Ewha Womans University, Seoul, Korea; Graduate School of Biotechnology, Korea University, Seoul, Korea; Korean Armed Forces Medical Command, Seongnam, Korea; Department of Microbiology, Gachon Medical School, Inchon, Korea

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CHANG-KWON HONG Department of Microbiology, Parasitology, Preventive Medicine, Internal Medicine, and Surgery, College of Medicine, Ewha Womans University, Seoul, Korea; Graduate School of Biotechnology, Korea University, Seoul, Korea; Korean Armed Forces Medical Command, Seongnam, Korea; Department of Microbiology, Gachon Medical School, Inchon, Korea

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CHANG-HYUN OH Department of Microbiology, Parasitology, Preventive Medicine, Internal Medicine, and Surgery, College of Medicine, Ewha Womans University, Seoul, Korea; Graduate School of Biotechnology, Korea University, Seoul, Korea; Korean Armed Forces Medical Command, Seongnam, Korea; Department of Microbiology, Gachon Medical School, Inchon, Korea

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YOUNG-A KIM Department of Microbiology, Parasitology, Preventive Medicine, Internal Medicine, and Surgery, College of Medicine, Ewha Womans University, Seoul, Korea; Graduate School of Biotechnology, Korea University, Seoul, Korea; Korean Armed Forces Medical Command, Seongnam, Korea; Department of Microbiology, Gachon Medical School, Inchon, Korea

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JAE-WON PARK Department of Microbiology, Parasitology, Preventive Medicine, Internal Medicine, and Surgery, College of Medicine, Ewha Womans University, Seoul, Korea; Graduate School of Biotechnology, Korea University, Seoul, Korea; Korean Armed Forces Medical Command, Seongnam, Korea; Department of Microbiology, Gachon Medical School, Inchon, Korea

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Serum cytokine profiles in patients with Plasmodium vivax malaria who presented with and without hyperpyrexia were compared by a retrospective review of the medical records of the consecutive patients seen at the military hospitals near the demilitarized zone in the Republic of Korea from April 2000 through October 2001. Of 162 male patients studied, 120 (86.4%) presented with hyperpyrexia (i.e., an axillary temperature ≥ 40°C). The mean ± SEM ages of the patients with and without hyperpyrexia were 21.5 ± 0.14 and 21.9 ± 0.39 years, respectively (P = 0.33). The mean ± SEM concentrations of serum interleukin (IL)-6 (379.7 ± 44.1 pg/mL versus 105.4 ± 26.8 pg/mL; P = 0.002), IL-10 (583.4 ± 58.2 pg/mL versus 142.4 ± 39.7 pg/mL; P = 0.0001), and interferon-𝛄 (312.6 ± 33.9 pg/mL versus 112.9 ± 27.1 pg/mL; P = 0.0001) were significantly higher in patients with hyperpyrexia compared with those without hyperpyrexia. The mean ± SEM concentrations of serum tumor necrosis factor-α were 155.5 ± 54.5 pg/mL and 109.9 ± 29.3 pg/mL (P = 0.27) in patients who presented with and without hyperpyrexia, respectively. Further studies are needed to examine whether serum concentrations of these cytokines also parallel their concentrations at the tissue sites of their production and action.

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