2021
DOI: 10.3201/eid2708.204502
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Natural Human Infections with Plasmodium cynomolgi, P. inui, and 4 other Simian Malaria Parasites, Malaysia

Abstract: Z oonotic malaria caused by Plasmodium knowlesi, commonly found in long-tailed macaques (Macaca fascicularis) and pig-tailed macaques (M. nemestrina), is now a major emerging disease, particularly in Malaysia (1,2). Two other simian malaria parasites, P. cynomolgi (2-4) and P. inui (2), have also been shown to have the potential of zoonotic transmission to humans through the bites of infected mosquitoes under natural and experimental conditions. The risk of acquiring zoonotic malaria is highest for persons liv… Show more

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Cited by 67 publications
(73 citation statements)
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“…Malaria is a vector-borne parasitic disease, which in humans, is primarily caused by one of the five species of Plasmodium : Plasmodium falciparum , Plasmodium vivax , P. ovale (P. ovale curtisi , P. ovale wallikeri) , P. malariae and P. knowlesi (simian species found in Southeast Asia). Thanks to recent developments in molecular diagnostics, it is possible to identify further enzootic species of Plasmodium in humans: P. simium , P. cynomolgi , P. coatneyi and P. inui ; however, their prevalence and clinical picture have not been conclusively established [ 1 , 2 ].…”
Section: Introductionmentioning
confidence: 99%
“…Malaria is a vector-borne parasitic disease, which in humans, is primarily caused by one of the five species of Plasmodium : Plasmodium falciparum , Plasmodium vivax , P. ovale (P. ovale curtisi , P. ovale wallikeri) , P. malariae and P. knowlesi (simian species found in Southeast Asia). Thanks to recent developments in molecular diagnostics, it is possible to identify further enzootic species of Plasmodium in humans: P. simium , P. cynomolgi , P. coatneyi and P. inui ; however, their prevalence and clinical picture have not been conclusively established [ 1 , 2 ].…”
Section: Introductionmentioning
confidence: 99%
“…[5]. Moreover, P. cynomolgi [6][7][8][9][10] and P. inui have also been reported in humans [11,12]. In Malaysia, P. knowlesi is the predominant species affecting humans, and 3212 cases have been reported in 2019 [13].…”
Section: Introductionmentioning
confidence: 99%
“…This data will be useful when interpreting P. vivax sero-surveillance results in settings co-endemic for P. knowlesi. It will be important to expand upon our findings to assess potential cross-reactivity with other zoonotic 48 and non-zoonotic Plasmodium species, even though for the latter the levels are expected to be lower due to the further divergence in genetic relatedness with other species 14 . Further assessment of recently developed P. knowlesi markers of exposure 24 in P. vivax endemic areas is warranted to confirm limited cross-reactivity for those specific proteins between the two species.…”
Section: Discussionmentioning
confidence: 99%