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Related Experiment Video

Updated: Apr 22, 2026

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Plasmodium knowlesi malaria during pregnancy.

Bridget E Barber1, Elspeth Bird2, Christopher S Wilkes2

  • 1Menzies School of Health Research, Charles Darwin University, Infectious Diseases Society Sabah-Menzies School of Health Research Clinical Research Unit.

The Journal of Infectious Diseases
|October 11, 2014
PubMed
Summary
This summary is machine-generated.

Plasmodium knowlesi malaria is common in Malaysia but rare in pregnant women. However, knowlesi malaria in pregnancy may lead to adverse maternal and infant outcomes.

Keywords:
Plasmodium knowlesimalariamaternal anemiapregnancypreterm delivery

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Area of Science:

  • Tropical Medicine
  • Infectious Diseases
  • Public Health

Background:

  • Plasmodium knowlesi is the most frequent cause of malaria in Malaysia.
  • Little is known about the impact of Plasmodium knowlesi infection during pregnancy.

Purpose of the Study:

  • To investigate the comparative risk and consequences of Plasmodium knowlesi malaria during pregnancy.
  • To analyze malaria infection patterns in pregnant women in Sabah, Malaysia.

Main Methods:

  • Reviewed malaria notification records from Sabah Health Department (2012-2013).
  • Analyzed prospectively collected data of females with PCR-confirmed malaria admitted to a tertiary hospital (2011-2014).
  • Examined malaria microscopy and clinical data from a women and children's hospital (2010-2014).

Main Results:

  • Plasmodium knowlesi malaria was relatively rare among pregnant women (2.6%) compared to Plasmodium falciparum (14.5%) and Plasmodium vivax (9.7%).
  • Three pregnant women with knowlesi malaria experienced adverse outcomes: moderate anemia (2) and preterm low-birth-weight infant (1).
  • No pregnant women with knowlesi malaria were identified in referral hospitals, contrasting with 17 P. falciparum and 7 P. vivax cases.

Conclusions:

  • Plasmodium knowlesi malaria is uncommon during pregnancy in Sabah, despite being the most prevalent species in females.
  • Knowlesi malaria in pregnancy may be associated with negative maternal and fetal outcomes.
  • Further research is needed to understand the full implications of knowlesi malaria in pregnant populations.