PLASMODIUM FALCIPARUM MALARIA IN SPLENECTOMIZED PATIENTS: TWO CASE REPORTS IN FRENCH GUIANA AND A LITERATURE REVIEW

MAGALIE DEMAR Parasitology-Mycology Laboratory, French West Indies and Guiana Faculty of Medicine and Cayenne Central Hospital (EA3593 Team), Cayenne, French Guiana; National Reference Center on Plasmodium Chemoresistance in the French West Indies and French Guiana, Institut Pasteur de Guyane, Cayenne, French Guiana; Intensive Care Unit, Cayenne Central Hospital, Cayenne, French Guiana

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ERIC LEGRAND Parasitology-Mycology Laboratory, French West Indies and Guiana Faculty of Medicine and Cayenne Central Hospital (EA3593 Team), Cayenne, French Guiana; National Reference Center on Plasmodium Chemoresistance in the French West Indies and French Guiana, Institut Pasteur de Guyane, Cayenne, French Guiana; Intensive Care Unit, Cayenne Central Hospital, Cayenne, French Guiana

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DIDIER HOMMEL Parasitology-Mycology Laboratory, French West Indies and Guiana Faculty of Medicine and Cayenne Central Hospital (EA3593 Team), Cayenne, French Guiana; National Reference Center on Plasmodium Chemoresistance in the French West Indies and French Guiana, Institut Pasteur de Guyane, Cayenne, French Guiana; Intensive Care Unit, Cayenne Central Hospital, Cayenne, French Guiana

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PHILIPPE ESTERRE Parasitology-Mycology Laboratory, French West Indies and Guiana Faculty of Medicine and Cayenne Central Hospital (EA3593 Team), Cayenne, French Guiana; National Reference Center on Plasmodium Chemoresistance in the French West Indies and French Guiana, Institut Pasteur de Guyane, Cayenne, French Guiana; Intensive Care Unit, Cayenne Central Hospital, Cayenne, French Guiana

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BERNARD CARME Parasitology-Mycology Laboratory, French West Indies and Guiana Faculty of Medicine and Cayenne Central Hospital (EA3593 Team), Cayenne, French Guiana; National Reference Center on Plasmodium Chemoresistance in the French West Indies and French Guiana, Institut Pasteur de Guyane, Cayenne, French Guiana; Intensive Care Unit, Cayenne Central Hospital, Cayenne, French Guiana

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Some of the immunologic mechanisms involved in malaria physiopathology remain unclear. In animals, the spleen seems to play a key role in protecting the host against malaria. However, little is known about the effect of spleen dysfunction on human malaria. We report two severe cases of Plasmodium falciparum infection with unusual clinical and parasitologic features in two splenectomized men living in French Guiana. The peripheral blood of these cases showed hyperparasitemia, with a high proportion of mature parasites and leukocytes with malaria pigment. Despite appropriate treatment and adequate absorption, hyperparasitemia persisted. Parasite clearance was delayed and one patient died. Only the patient who died had the merozoite surface protein 1 allele B-K1 and the varD gene genotype, which is considered to be a probable parasite virulence factor. These uncommon cases differ from most of those described in the literature, illustrating the complexity of the mechanisms underlying the protective function of the spleen in human malaria.

Author Notes

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