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Transfusion-induced malaria from an asymptomatic carrier

Transfusion
|September 1, 1976
PubMed

Insights

Asymptomatic malaria carriers can transmit the disease through blood transfusions, posing a risk in the United States. Individuals with a history of living in malaria-endemic areas should be carefully screened as blood donors.

Area of Science:

  • Infectious Diseases
  • Transfusion Medicine
  • Public Health

Background:

  • Malaria transmission through blood transfusion presents a persistent risk, even in non-endemic regions.
  • Current blood donation criteria may not adequately identify all asymptomatic malaria carriers.
  • Unexplained fever post-transfusion necessitates consideration of malaria.

Observation:

  • A case study identified an asymptomatic malaria carrier meeting American Association of Blood Banks (AABB) standards as the source of transfusion-induced malaria.
  • The donor was asymptomatic despite residing in a malaria-free area for an extended period.

Findings:

  • Asymptomatic individuals can harbor persistent malarial species capable of transmission.
  • Existing screening protocols may not detect all carriers of these persistent species.

Implications:

  • Healthcare providers must consider malaria in unexplained post-transfusion fevers.
  • Stricter donor screening for individuals with a history of residing in malarious regions is crucial.
  • Enhanced diagnostic awareness and criteria are needed to prevent transfusion-transmitted malaria.

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