Congenital Malaria in Calabar, Nigeria: The Molecular Perspective

Olabisi A. Oduwole Institute of Tropical Diseases Research and Prevention, University of Calabar Teaching Hospital, Calabar, Nigeria; United Kingdom Medical Research Council Laboratories, Fajara, The Gambia

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G. C. Ejezie Institute of Tropical Diseases Research and Prevention, University of Calabar Teaching Hospital, Calabar, Nigeria; United Kingdom Medical Research Council Laboratories, Fajara, The Gambia

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Friday A. Odey Institute of Tropical Diseases Research and Prevention, University of Calabar Teaching Hospital, Calabar, Nigeria; United Kingdom Medical Research Council Laboratories, Fajara, The Gambia

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Chioma M. Oringanje Institute of Tropical Diseases Research and Prevention, University of Calabar Teaching Hospital, Calabar, Nigeria; United Kingdom Medical Research Council Laboratories, Fajara, The Gambia

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Davis Nwakanma Institute of Tropical Diseases Research and Prevention, University of Calabar Teaching Hospital, Calabar, Nigeria; United Kingdom Medical Research Council Laboratories, Fajara, The Gambia

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Segun Bello Institute of Tropical Diseases Research and Prevention, University of Calabar Teaching Hospital, Calabar, Nigeria; United Kingdom Medical Research Council Laboratories, Fajara, The Gambia

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Eniyou Oriero Institute of Tropical Diseases Research and Prevention, University of Calabar Teaching Hospital, Calabar, Nigeria; United Kingdom Medical Research Council Laboratories, Fajara, The Gambia

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Joseph Okebe Institute of Tropical Diseases Research and Prevention, University of Calabar Teaching Hospital, Calabar, Nigeria; United Kingdom Medical Research Council Laboratories, Fajara, The Gambia

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Anyawu A. Alaribe Institute of Tropical Diseases Research and Prevention, University of Calabar Teaching Hospital, Calabar, Nigeria; United Kingdom Medical Research Council Laboratories, Fajara, The Gambia

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Saturday Etuk Institute of Tropical Diseases Research and Prevention, University of Calabar Teaching Hospital, Calabar, Nigeria; United Kingdom Medical Research Council Laboratories, Fajara, The Gambia

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Martin Meremikwu Institute of Tropical Diseases Research and Prevention, University of Calabar Teaching Hospital, Calabar, Nigeria; United Kingdom Medical Research Council Laboratories, Fajara, The Gambia

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Polymerase chain reaction (PCR) has been shown to be more sensitive in detecting low-level parasitemia than conventional blood film microscopy. We estimated the prevalence of congenital malaria using nested PCR amplification of the small subunit 18S RNA gene to detect low-level parasitemia and identify Plasmodium species in 204 mother–neonate pairs. Cord-blood parasitemia was detected in four babies by PCR, giving a prevalence of 2.0%. The newborns of primidgravidae were more susceptible to congenital malaria than those of multigravidae (P < 0.0001). There was a strong correlation between placental malaria and congenital malaria (odds ratio = 10.1, 95% confidence interval = 1.3–76.1, P = 0.0487). We conclude that the prevalence of congenital malaria in Calabar detected by PCR is lower than has been reported in this environment through microscopy.

Author Notes

*Address correspondences to Olabisi A. Oduwole, University of Calabar Teaching Hospital, GPO Box 3134, Calabar, Cross River State, Nigeria, 540001. E-mail: olabisioduwole@yahoo.co.uk

Financial support: The laboratory work for this project was supported by the Institute of Tropical Diseases Research and Prevention, University of Calabar Teaching Hospital, Calabar, and the United Kingdom Medical Research Council Laboratory, The Gambia.

Authors' addresses: Olabisi A. Oduwole, G. C. Ejezie, Friday A. Odey, Chioma M. Oringanje, Segun Bello, Anyawu A. Alaribe, Saturday Etuk, and Martin Meremikwu, Institute of Tropical Diseases Research and Prevention, University of Calabar Teaching Hospital, Calabar, Cross River State, Nigeria, E-mails: olabisioduwole@yahoo.co.uk, gcejezie@netscape.net, awhobe@yahoo.com, chyoma@yahoo.com, drsegunbello@yahoo.com, anyanwualaribe@yahoo.com, imaetuks345@yahoo.com, and mmeremiku@yahoo.co.uk. Davis Nwakanma, Eniyou Oriero, and Joseph Okebe, Malaria Programme, United Kingdom Medical Research Council Laboratories, Fajara, The Gambia, E-mails: dnwakanma@mrc.gm, eoriero@mrc.gm, and jokebe@mrc.gm.

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