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Original Article
Brief Report
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Volume 338:367-371 February 5, 1998 Number 6
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Plasmodium malariae Infection in an Asymptomatic 74-Year-Old Greek Woman with Splenomegaly
Joseph M. Vinetz, M.D., Jun Li, M.D., Ph.D., Thomas F. McCutchan, Ph.D., and David C. Kaslow, M.D.

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Malaria most commonly presents as an acute systemic, febrile illness but may manifest more indolently as chronic anemia, glomerulonephritis, or tropical splenomegaly syndrome (or hyperreactive malarial splenomegaly) due to Plasmodium falciparum, P. vivax, or P. malariae.1 Although all the major malaria parasites of humans cause acute illness that may be accompanied by splenomegaly, P. malariae is the only one recognized to cause asymptomatic infections that can last decades.1 Asymptomatic P. malariae infections are typically associated with very low levels of parasitemia and normal physical examinations,2,3 and they generally come to medical attention when malaria is transmitted by transfusion2,3 or a . . . [Full Text of this Article]

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From the Laboratory of Parasitic Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Md. (J.M.V., J.L., T.F.M., D.C.K.), and the Division of Infectious Diseases, Department of Medicine, Johns Hopkins School of Medicine, Baltimore (J.M.V.).

Address reprint requests to Dr. Vinetz at the Laboratory of Parasitic Diseases, National Institute of Allergy and Infectious Diseases, 9000 Rockville Pike, Bldg. 4, Rm. 126, Bethesda, MD 20892.

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