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Table 2 Case reports of P. malariae recrudescence

From: A case of Plasmodium malariae recurrence: recrudescence or reinfection?

Ref/Author/year

Nationality

Age/sex

Country of Residence

Country of acquisition

Species diagnosis

Quartan fever pattern

PCR

Interval between episodes

Risk factor

Treatment

12/Shute/1944

Indian

26/F

United Kingdom

India

P. malariae (Microscopy)

NR

No

21 years

NR

Mepacrine

13/Spitler/1948

Italian

69/M

USA

Italy

P. malariae (Microscopy)

Yes

No

36 years

NR

Quinine

14/Lentini/1955

Italian

70/F

Italy

Italy

P. malariae (Microscopy on BM)

Yes

No

45 years

NR

Quinine

15/Creyx/1955

French

56/F

France

Macedonia

P. malariae (Microscopy)

Yes

No

32 years

Surgery for hydatidosis

Quinine, plasmoquine

16/Duggan and Shute/1961

English

42/M

United Kingdom

Myanmar (ex Burma)

P. malariae (Microscopy)

NR

No

13 years

NR

Primaquine

5/Guazzi/1963

Italian

63/F

Italy

Italy

P. malariae (Microscopy)

Yes

No

53 years

Splenectomy

NR

17/Tsuchida/1982

Japanese

63/M

Japan

Papua New Guinea

P. malariae (Microscopy)

Yes

No

36 years

Splenectomy, nephrectomy

Sulfa-pyrimethamine, primaquine

18/Hess/1993

German

46/F

Germany

Kenya

P. malariae (Microscopy)

Yes (2 cycles)

No

78 and 106 days

P. falciparum malaria

Halofantrine

6/Vinetz/1998

Greek

72/F

USA

Greece

P. malariae (PCR)

Yes (5 cycles)

Yes

40–70 years

Methotrexate therapy

Chloroquine

7/Chadre/2000

Trinidadian

70/M

Trinidad

Trinidad

P. malariae (Microscopy)

Yes (4 cycles)

No

33 years; possibly 65 years

Neurosurgery

Chloroquine + primaquine

19/Skoutelis/2000

Greek

60/F

Greece

Greece

P. malariae (Microscopy)

Yes

No

45 years

Treated with chlorambucil and methylprednisolone (suspected myeloproliferative syndrome)

Chloroquine

20/Morovic/2003

Serbian

61/M

Croatia (Former Yugoslavia)

Croatia

P. malariae (Microscopy)

Yes

No

35 years

NR

Chloroquine

21/Chim/2004

Chinese

66/F

Hong Kong

China

P. malariae (Microscopy)

NR

No

55 years?

Splenectomy

Chloroquine

22/Muller-Stover/2008

Nigerian

34/M

Germany

Nigeria

P. malariae (Microscopy; PCR)

NR

Yes

14 weeks

P. falciparum malaria

Atovaquone/proguanil

23/Smith/2011

Australian

59/M

Australia

Uganda

P. malariae (Microscopy)

NR

No

47 days

P. falciparum malaria

Chloroquine

24/Hedelius/2011

American

34/M

USA

Nigeria

P. malariae (Microscopy; PCR)

NR

Yes

14 years

NR/Concomitant diagnosis of nephrotic syndrome

Atovaquone/proguanil

25/Franken/2012

Kenyan

38/F

Germany

Kenya

P. malariae (Microscopy; PCR)

NR

Yes

4 months

P. falciparum malaria

Chloroquine

26/Hong/2012

Korean

23/F

Korea

Ghana

P. malariae (Microscopy; PCR)

NR

Yes

1 month

P. malariae malaria

First episode: chloroquine; second episode: mefloquine

27/Liang/2013

NR

20/F

USA

Uganda

P. malariae (Microscopy; PCR)

Yes

Yes

8 weeks

P. malariae malaria

First episode: chloroquine; second episode: atovaquone-proguanil

28/Kugasia/2014

Sierra Leone

65/M

USA

Sierra Leone

P. malariae (initially misidentified as P. falciparum)

No

No

25 months

P. malariae malaria

First episode: quinine + clindamycin

Second episode: chloroquine

29/Visser/2016

Dutch

NR/M

The Netherlands

Uganda

P. malariae (Microscopy; PCR)

No

Noa

2 months

P. malariae malaria

Chloroquine

30/Rutledge/2017

Ugandan

31/M

Australia

Uganda

P. malariae (Microscopy; PCR)

No

Yes

52 days

P. malariae malaria

First episode: artemether/lumefantrine

Second episode: hydroxychloroquine + primaquine

31/Islam/2018

Ivory Coast

23 months/M

USA

Liberia

P. malariae (Microscopy; PCR)

No

Yes

4 months

P. malariae malaria

First episode: Chloroquine

Second episode: chloroquine

Third episode: atovaquone–proguanil

  1. M male, F female, PCR polymerase chain reaction, NR not reported, BM bone marrow
  2. aPCR was not employed for the recurrence diagnosis