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Updated: Jun 2, 2026

Phenotypic Analysis of Rodent Malaria Parasite Asexual and Sexual Blood Stages and Mosquito Stages
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Published on: May 30, 2019

Plasmodium knowlesi malaria in children.

Bridget E Barber1, Timothy William, Mohammad Jikal

  • 1Menzies School of Health Research, Darwin, Northern Territory, Australia. bridget.barber@menzies.edu.au

Emerging Infectious Diseases
|May 3, 2011
PubMed
Summary
This summary is machine-generated.

Plasmodium knowlesi is the most common cause of childhood malaria in Kudat, Malaysia. While generally uncomplicated, knowlesi malaria in children frequently causes anemia and universal thrombocytopenia.

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Area of Science:

  • Tropical Medicine
  • Infectious Diseases
  • Parasitology

Background:

  • Plasmodium knowlesi causes severe malaria in adults, but clinical disease in children is poorly described.
  • Understanding Plasmodium knowlesi epidemiology in pediatric populations is crucial for public health.

Purpose of the Study:

  • To describe the clinical presentation and outcomes of Plasmodium knowlesi malaria in children.
  • To compare Plasmodium knowlesi infections with Plasmodium falciparum infections in children.

Main Methods:

  • Retrospective review of pediatric malaria cases (<15 years) at Kudat District Hospital, Sabah, Malaysia (Jan-Nov 2009).
  • Comparison of 16 children with PCR-confirmed P. knowlesi monoinfection against 14 children with P. falciparum monoinfection.

Main Results:

  • Plasmodium knowlesi was the most frequent cause of childhood malaria in the study area.
  • Children with P. knowlesi malaria exhibited common anemia (hemoglobin <10.0 g/dL) and universal thrombocytopenia (median 76,500/μL).
  • Parasite clearance was rapid (median 2 days) with chloroquine and primaquine treatment.

Conclusions:

  • Plasmodium knowlesi is a significant cause of pediatric malaria in Kudat, often presenting with anemia and thrombocytopenia.
  • Further investigation into P. knowlesi transmission dynamics in this region is warranted.
  • Clinical management guidelines for pediatric knowlesi malaria should consider hematological complications.