Peer-reviewedCC BY-NC-NDMalaria journal
Severe Plasmodium falciparum infection with multi-organ involvement in an asplenic patient: a case report.
7 affiliations
- 1Department of Clinical Microbiology, Odense University Hospital, J. B. Winsloews Vej 4, 5000, Odense C, Denmark. [email protected].
- 2Department of Clinical Microbiology, Odense University Hospital, J. B. Winsloews Vej 4, 5000, Odense C, Denmark.
- 3Department of Clinical Microbiology, Aalborg University Hospital, Aalborg, Denmark.
- 4Department of Infectious Diseases, Aalborg University Hospital, Aalborg, Denmark.
- 5Center for Translational Medicine and Parasitology, Department of Immunology and Microbiology, University of Copenhagen, Copenhagen, Denmark.
- 6Department of Infectious Diseases, Copenhagen University Hospital, Copenhagen, Denmark.
- 7Clinical Center for Emerging and Vector Borne Infections, Department of Infectious Diseases, Odense University Hospital, Odense, Denmark.
Abstract
Plasmodium falciparum is the leading cause of severe malaria. The spleen plays a central role in the clearance of the infection in conjunction with antimalarial treatment. Splenectomized patients lack sufficient clearance functions. We report a case of severe P. falciparum infection with multi-organ involvement acquired in Uganda in a splenectomized patient with a persistently high parasitemia level despite appropriate antimalarial treatment. The case emphasizes the challenges associated with severe malaria in asplenic patients.
Related
- First evidence of plasmodium falciparum-plasmodium ovale co-infection with delayed clinical presentation in an Ivorian patient: observations and diagnostic challenges
- First report of severe Plasmodium vivax malaria with sub-microscopic co-infection of Plasmodium vivax and Plasmodium falciparum and their clinicodemographic correlates: a study from hyperendemic areas of Tripura
- Hierarchy of immunogenicity of Plasmodium falciparum merozoite antigens and vaccine candidates in first human infection
- Identifying shared and parasite-specific determinants of Plasmodium falciparum and Schistosoma mansoni co-infection in a large-scale community-based study in rural Uganda
- First Detection of WHO-validated artemisinin resistance Plasmodium falciparum K13 C469Y mutation in patient from Senegal.
BibTeX
@article{wittenberg2026severe,
title = {{Severe Plasmodium falciparum infection with multi-organ involvement in an asplenic patient: a case report.}},
author = {Bolette Wittenberg and Gitte Nyvang Hartmeyer and David Fuglsang-Damgaard and Torsten Roed and Helle Hansson and Fredrikke Christie Knudtzen},
journal = {Malaria journal},
year = {2026},
month = aug,
doi = {10.1186/s12936-026-06079-5},
url = {https://europepmc.org/article/MED/42919362},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - Severe Plasmodium falciparum infection with multi-organ involvement in an asplenic patient: a case report.
AU - Bolette Wittenberg
AU - Gitte Nyvang Hartmeyer
AU - David Fuglsang-Damgaard
AU - Torsten Roed
AU - Helle Hansson
AU - Fredrikke Christie Knudtzen
PY - 2026
DA - 2026/08/01
JO - Malaria journal
DO - 10.1186/s12936-026-06079-5
UR - https://europepmc.org/article/MED/42919362
AB - Plasmodium falciparum is the leading cause of severe malaria. The spleen plays a central role in the clearance of the infection in conjunction with antimalarial treatment. Splenectomized patients lack sufficient clearance functions. We report a case of severe P. falciparum infection with multi-organ involvement acquired in Uganda in a splenectomized patient with a persistently high parasitemia level despite appropriate antimalarial treatment. The case emphasizes the challenges associated with severe malaria in asplenic patients.
SN - 1475-2875
ER -