Review Article

The Survival Strategies of Malaria Parasite in the Red Blood Cell and Host Cell Polymorphisms

Table 1

Geographic variations in malaria pathogenesis.

South East AsiaAfricaRef

Low transmission in generalHigh transmission[38]
Severe malaria affects all age groupSevere malaria affects mostly the children under 5 yrs of age [39]
Multiorgan failure is common with seizures, respiratory distress, and anemia being more common in children whereas renal and hepatic failures are in adults.Cerebral malaria, severe anemia, and respiratory distress are common[39, 40]
Total parasite burden is associated with risk of severe malaria and deathsThis relationship is less clear as children tolerate high parasitemias without developing severe malaria.[38]
Rosetting is not associated with severe malariaRosetting is associated with severe malaria[41]
Platelet-mediated clumping is associated with severe malariaPlatelet-mediated clumping is associated with severe malaria or high parasitemia[41]