Evidence map›Paper›PMID 34635723›Full record

Observational studyScientific reports2021

A comparison of the clinical, laboratory and epidemiological features of two divergent subpopulations of Plasmodium knowlesi.

Ting Huey Hu, Nawal Rosli, Dayang S A Mohamad, Khamisah A Kadir, Zhen Hao Ching, Yaw Hung Chai, Nur Naqibah Ideris, Linda S C Ting, Adeline A Dihom, Sing Ling Kong and 10 more

Open access · goldAbstract readComparative StudyObservational Study
In one paragraph

Observational study in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.6field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Malaria.The New England journal of medicine · 2025
    Review
  6. Article
  7. Tropical medicine and infectious disease · 2023
    Review
  8. Article
  9. The Impact of Geographical Variation inTropical medicine and infectious disease · 2023
    Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors at 4 institutions in 3 countries.

Ting Huey HuMalaria Research Centre, Universiti Malaysia Sarawak, Kota Samarahan, Malaysia.
Nawal RosliMalaria Research Centre, Universiti Malaysia Sarawak, Kota Samarahan, Malaysia.
Dayang S A MohamadMalaria Research Centre, Universiti Malaysia Sarawak, Kota Samarahan, Malaysia.
Khamisah A KadirMalaria Research Centre, Universiti Malaysia Sarawak, Kota Samarahan, Malaysia.
Zhen Hao ChingKapit Hospital, Kapit, Sarawak, Malaysia.
Yaw Hung ChaiKapit Hospital, Kapit, Sarawak, Malaysia.
Nur Naqibah IderisKapit Hospital, Kapit, Sarawak, Malaysia.
Linda S C TingKapit Hospital, Kapit, Sarawak, Malaysia.
Adeline A DihomKapit Hospital, Kapit, Sarawak, Malaysia.
Sing Ling KongKapit Hospital, Kapit, Sarawak, Malaysia.
Edmund K Y WongKapit Hospital, Kapit, Sarawak, Malaysia.
Jenny E H SiaKapit Hospital, Kapit, Sarawak, Malaysia.
Tiana TiKapit Hospital, Kapit, Sarawak, Malaysia.
Irene P F ChaiKapit Hospital, Kapit, Sarawak, Malaysia.
Wei Yieng TangKapit Hospital, Kapit, Sarawak, Malaysia.
King Ching HiiKapit Hospital, Kapit, Sarawak, Malaysia.
Paul C S DivisMalaria Research Centre, Universiti Malaysia Sarawak, Kota Samarahan, Malaysia.
Timothy M E DavisMalaria Research Centre, Universiti Malaysia Sarawak, Kota Samarahan, Malaysia.
Cyrus DaneshvarMalaria Research Centre, Universiti Malaysia Sarawak, Kota Samarahan, Malaysia.
Balbir SinghMalaria Research Centre, Universiti Malaysia Sarawak, Kota Samarahan, Malaysia. bsingh@unimas.my.
Sarawak General Hospital · MYUniversiti Malaysia Sarawak · MYUniversity Hospitals Plymouth NHS Trust · GBUniversity of Western Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Plasmodium knowlesi, a simian malaria parasite responsible for all recent indigenous cases of malaria in Malaysia, infects humans throughout Southeast Asia. There are two genetically distinct subpopulations of Plasmodium knowlesi in Malaysian Borneo, one associated with long-tailed macaques (termed cluster 1) and the other with pig-tailed macaques (cluster 2). A prospective study was conducted to determine whether there were any between-subpopulation differences in clinical and laboratory features, as well as in epidemiological characteristics. Over 2 years, 420 adults admitted to Kapit Hospital, Malaysian Borneo with knowlesi malaria were studied. Infections with each subpopulation resulted in mostly uncomplicated malaria. Severe disease was observed in 35/298 (11.7%) of single cluster 1 and 8/115 (7.0%) of single cluster 2 infections (p = 0.208). There was no clinically significant difference in outcome between the two subpopulations. Cluster 1 infections were more likely to be associated with peri-domestic activities while cluster 2 were associated with interior forest activities consistent with the preferred habitats of the respective macaque hosts. Infections with both P. knowlesi subpopulations cause a wide spectrum of disease including potentially life-threatening complications, with no implications for differential patient management.

Indexed as

AdultBiomarkersDNA, ProtozoanFemaleFollow-Up StudiesGenetics, PopulationHumansLaboratoriesMalariaMalaysiaMaleMiddle AgedPlasmodium knowlesiPrognosisProspective StudiesBiomarkersDNA, Protozoan

Identifiers

PMID34635723
PMCPMC8505493
OpenAlexW3205535134

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.