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Patterns of anemia during malaria

Stéphane Jauréguiberry, Papa Alioune Ndour, Marc Thellier, Eric Caumes,

Pierre Buffet

To cite this version:

Stéphane Jauréguiberry, Papa Alioune Ndour, Marc Thellier, Eric Caumes, Pierre Buffet. Patterns

of anemia during malaria. International Journal of Infectious Diseases, Elsevier, 2015, 33, pp.89-89.

�10.1016/j.ijid.2014.12.048�. �hal-01224282�

(2)

Letter

to

the

editor

Patternsofanemiaduringmalaria DearEditor,

We readwithinterest thearticle byRehman etal. on post-artesunate hemolysis (PADH).1 Hemolysis is indeed commonly associatedwiththeclassofartemisinindrugswhenusedforthe treatment of severe malaria. Their review confirmed the high incidenceofthis adverseeventrelatedtothemodeofactionof artemisinins and the physiological role of the spleen.2 As the authors wisely pointed out, delayed hemolysis should not jeopardizethedeploymentofartesunateasthefirst-linetreatment ofseveremalariaworldwide.WhilePADHisindeedrarely(ifever) fatal, artesunatesignificantly reducesmortality ascompared to quinine,markedlysoinpatientswithparasitemiagreaterthan10% onadmission.3Importantly,PADHhasbeenfurthercharacterized byapathophysiologicalstudyintravelerstreatedwithartesunate forseveremalaria.4Earlypeakconcentrationsofcirculating once-infectederythrocytesarepredictivefortheoccurrenceofPADH andmaythereforeserveasafuturecandidatemarkerforPADH. Rehmanetal.referredtodifferentanemiapatternsintheiranalysis of published reports. This definition was based on initial descriptions by Zoller et al.5 and on a more refined definition proposed in a closed meeting organized by the Medicine for MalariaVenture(MMV)inMarch2013inVienna (http://www. mmv.org/sites/default/files/uploads/docs/events/2013/ InjectableArtesunateExpertGroupMeeting.pdf)6 and later pub-lishedintheabovementionedpathophysiologicalpaper.4Whereas initialreportswereacknowledgedinthearticlebyRehmanetal., theoptimizednosologicalclassificationwasnotreferencedinthe manuscript.Thisomissionis likely duetothedisclosurein the MMVreport(whichbecamepubliclyavailablein2013)ofthethen unpublished, optimized case definition proposed by ourgroup, withoutprecisereferencingofthesourceofthatparticularsetof information. Sharing unpublished results or concepts during subject-specific meetings, like the one efficiently organized by MMVinVienna,isimportantasitallowsthemalariacommunityto adaptrapidlyandefficientlytonewproblemswithapublichealth impact.Whenreportsofsuchmeetingscarefullyacknowledgeall respectivecontributions,thisultimatelycontributesto maintain-ingrichexchangesbetweenattendees.

References

1.RehmanK,LotschF,KremsnerPG,RamharterM.Haemolysisassociatedwiththe treatment of malariawith artemisinin derivatives:a systematic review of currentevidence.Internationaljournalofinfectiousdiseases:IJID:official publica-tionoftheInternationalSocietyforInfectiousDiseases2014;29C:268–73.

2.BuffetPA,SafeukuiI,DeplaineG,BrousseV,PrendkiV,ThellierM,etal.The pathogenesis of Plasmodium falciparummalariain humans: insights from splenicphysiology.Blood2011;117:381–92.

3.DondorpA,NostenF,StepniewskaK,DayN,WhiteN.Artesunateversusquinine fortreatmentofseverefalciparummalaria:arandomisedtrial.Lancet2005;366: 717–25.

4.Jaureguiberry S, NdourPA,RousselC, AderF, SafeukuiI, NguyenM,etal. Postartesunatedelayedhemolysisisapredictableeventrelatedtothelifesaving effectofartemisinins.Blood2014;124:167–75.

5.Zoller T,JunghanssT,KapaunA,GjorupI,RichterJ,Hugo-PerssonM,etal. Intravenousartesunateforseveremalariaintravelers,Europe.EmergInfectDis 2011;17:771–7.

6.MMV.ExpertsGroupMeetingondelayedanaemiafollowingtreatmentwith injectable artesunate,WienAustria.http://www.mmv.org/sites/default/files/ uploads/docs/events/2013/InjectableArtesunateExpertGroupMeeting.pdf;2013.

Ste´phaneJaure´guiberrya,b,c,* PapaAliouneNdourb MarcThellierb,c,d EricCaumesa PierreBuffetb,c,d

aAP-HP,HoˆpitalPitie´-Salpeˆtrie`re,Servicedesmaladiesinfectieuseset

me´decinetropicale,Paris,F-75013,France

bCentred’ImmunologieetdesMaladiesInfectieusesdeParis,

CIMI-PARIS,U1135INSERM/UPMCUniversite´ ParisVI,ParisF-75005, France

c

CentreNationaldeRe´fe´renceduPaludisme-sitePitie´ Salpetrie`re, Paris,F-75013,France

dAP-HP,HoˆpitalPitie´-Salpeˆtrie`re,Servicedeparasitologie-mycologie,

Paris,F-75013,France

*Correspondingauthor. E-mailaddress:[email protected] (S.Jaure´guiberry).

Received19December2014 Accepted25December2014

InternationalJournalofInfectiousDiseases33(2015)89

ContentslistsavailableatScienceDirect

International

Journal

of

Infectious

Diseases

j o urn a l hom e pa ge : ww w. e l s e v i e r. c om/ l o ca t e / i j i d

http://dx.doi.org/10.1016/j.ijid.2014.12.048

1201-9712/ß2015TheAuthors.PublishedbyElsevierLtdonbehalfofInternationalSocietyforInfectiousDiseases.ThisisanopenaccessarticleundertheCCBY-NC-ND license(http://creativecommons.org/licenses/by-nc-nd/4.0/).

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