The pathogenesis of malaria depends on the interaction between Plasmodium and the host's immune system. The objective of this study was to evaluate the relationship between parasitemia and anti-Plasmodium falciparum immunoglobulin G (IgG) titers. This cross-sectional study included 37 children aged 0 to 15 years with severe malaria. Anti-Plasmodium falciparum IgG titers were measured by indirect immunofluorescence. Parasitemia ranged from 360 to 400,000 trophozoites, with a mean of 48,525 trophozoites/mm3. Hemoglobin concentration ranged from 3.4 to 10.7 g/dL, with a mean of 6.28 g/dL. The mean platelet count was 110.18 103/mm3, ranging from 17 to 506 103/mm3. The anti-Plasmodium falciparum IgG titer ranged from 40 to 320, with a mean of 220. Hyperparasitemia (parasitemia >= 100,000 trophozoites/mm3) was present in patients aged 0 to 5 years. The mean anti-Plasmodium falciparum IgG titer was significantly higher in subjects with a parasitemia of =100,000 (110 vs. 233.3), p = 0.017.
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