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Bulbin A, Shen J, Liotta-Bono C, Ahmad T. Unexpected severe malaria in a postoperative patient, New York, USA. BMC Infect Dis 2024; 24:404. [PMID: 38622499 PMCID: PMC11017529 DOI: 10.1186/s12879-024-09272-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2023] [Accepted: 03/29/2024] [Indexed: 04/17/2024] Open
Abstract
Severe malaria is not routinely considered when evaluating a febrile patient in the postoperative setting. Common bacterial infections, along with adverse drug reactions, are the usual differential concerns. We present a case of severe malaria emerging unexpectedly eight days after routine craniotomy.
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Affiliation(s)
- Alan Bulbin
- St. Francis Hospital and Heart Center, 100 Port Washington Blvd, 11576, Roslyn, NY, USA
| | - Julia Shen
- St. Francis Hospital and Heart Center, 100 Port Washington Blvd, 11576, Roslyn, NY, USA
| | - Carol Liotta-Bono
- St. Francis Hospital and Heart Center, 100 Port Washington Blvd, 11576, Roslyn, NY, USA.
| | - Tahir Ahmad
- St. Francis Hospital and Heart Center, 100 Port Washington Blvd, 11576, Roslyn, NY, USA
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Jeon J, Kim HC, Klein TA, Choi KS. Analysis of geometric morphometrics and molecular phylogeny for Anopheles species in the Republic of Korea. Sci Rep 2023; 13:22009. [PMID: 38086890 PMCID: PMC10716165 DOI: 10.1038/s41598-023-49536-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Accepted: 12/09/2023] [Indexed: 12/18/2023] Open
Abstract
Human malaria, transmitted by Anopheles mosquitoes, is the most predominant mosquito-borne disease that is responsible for hundreds of thousands of deaths worldwide each year. In the Republic of Korea (ROK), there are currently several hundred malaria cases annually, mostly near the demilitarized zone (DMZ). Eight species of Anopheles mosquitoes are currently known to be present in the ROK. Similar to other major malaria vectors in Africa and India, it is very challenging to morphologically differentiate Anopheles mosquitoes in the ROK due to their extremely similar morphology. In this study, wing geometric morphometrics (WGM) were used to differentiate the eight Anopheles species collected at six locations near the DMZ, Seoul and Pyeongtaek from April-October 2021. Phylogenetic analysis was also performed using cytochrome c oxidase subunit 1 (COI), internal transcribed spacer 2 (ITS2), and tyrosine hydroxylase (TH) genes for comparison with WGM analysis and to infer evolutionary relationships. The results of cross-validation (overall accuracy = 74.8%) demonstrated that species identification using WGM alone was not possible with a high accuracy for all eight species. While phylogenetic analyses based on the COI region could not clearly distinguish some species, the analysis based on ITS2 and TH was more useful for resolving the phylogenetic correlation of the eight species. Our results may improve Anopheles species identification strategies for effective identification and control of malaria vectors in the ROK.
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Affiliation(s)
- Jiseung Jeon
- School of Life Sciences, BK21 FOUR KNU Creative BioResearch Group, Kyungpook National University, Daegu, 41566, Republic of Korea
- School of Life Sciences, College of Natural Sciences, Kyungpook National University, Daegu, 41566, Republic of Korea
- Research Institute for Dok-do and Ulleung-do Island, Kyungpook National University, Daegu, 41566, Republic of Korea
| | - Heung Chul Kim
- U Inc., Daesakwan-ro 34-gil, Yongsan-gu, Seoul, 04409, Republic of Korea
| | - Terry A Klein
- Force Health Protection and Preventive Medicine, Medical Department Activity-Korea/65th Medical Brigade, Unit 15281, Pyeongtaek, APO AP 96281-5281, USA
- PSC 450, Box 75R, Pyeongtaek, APO AP 96206, USA
| | - Kwang Shik Choi
- School of Life Sciences, BK21 FOUR KNU Creative BioResearch Group, Kyungpook National University, Daegu, 41566, Republic of Korea.
- School of Life Sciences, College of Natural Sciences, Kyungpook National University, Daegu, 41566, Republic of Korea.
- Research Institute for Dok-do and Ulleung-do Island, Kyungpook National University, Daegu, 41566, Republic of Korea.
- Research Institute for Phylogenomics and Evolution, Kyungpook National University, Daegu, 41566, Republic of Korea.
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