2022
DOI: 10.1097/qco.0000000000000829
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Updates in central nervous system malaria: literature review and considerations

Abstract: Purpose of reviewCerebral malaria (CM) represents one of the most common and severe complications of Plasmodium falciparum infection, leading to high morbidity and mortality along with challenging sequelae, especially in children. Recent findingsAlthough CM pathogenesis remains unclear due to the few studies made and the difficulty to analyze affected patients, there are valid theories involving P. falciparum endothelium interactions, and clinical manifestations have been better investigated and differentiated… Show more

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Cited by 4 publications
(10 citation statements)
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“…However, evidence suggests that malaria symptoms could progress rapidly from none to life-threatening while leading to a lifetime burden of cognitive impairments for some patients. It is thus necessary to develop a strategy that allows for the production at a low cost of reliable primary data on asymptomatic people with the capability of identifying infectious Plasmodium [ 88 ]. Additionally, the review highlighted that for each of the thematic areas discussed, there is a web of determinants that can be studied, using different perspectives including the use of a multidisciplinary lens to examine clinically relevant malaria issues.…”
Section: Discussionmentioning
confidence: 99%
“…However, evidence suggests that malaria symptoms could progress rapidly from none to life-threatening while leading to a lifetime burden of cognitive impairments for some patients. It is thus necessary to develop a strategy that allows for the production at a low cost of reliable primary data on asymptomatic people with the capability of identifying infectious Plasmodium [ 88 ]. Additionally, the review highlighted that for each of the thematic areas discussed, there is a web of determinants that can be studied, using different perspectives including the use of a multidisciplinary lens to examine clinically relevant malaria issues.…”
Section: Discussionmentioning
confidence: 99%
“…Socioeconomic factors majorly infuence vulnerable populations, with children under the age of 5 in the sub-Saharan Africa region accounting for two-thirds of these deaths [51]. It is estimated that 1% of children infected with P. falciparum will develop cerebral malaria [52]. Furthermore, it is well known that HIV increases an individual's susceptibility to malaria [53] and that South Africa is among the many countries predominantly afected by the global HIV burden [54].…”
Section: Socioeconomic Factors and Vulnerable Populationsmentioning
confidence: 99%
“…Parasitic infection is confrmed through thick blood flms, whereas species are confrmed through thin blood flms [61]. With 100% specifcity, microscopic examination remains the gold standard for the diagnosis of malaria [52]. Further advantages of this method are that it is quick, inexpensive, and provides both quantitative (parasite density, with a threshold of 50-500 parasites per microliter (μL)) and qualitative (Plasmodium species) data, which allow for the diagnosis of the stage of malaria infection [66,67].…”
Section: Microscopic Blood Assaymentioning
confidence: 99%
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