Article ; Online: Low incidence of COVID-19 case severity and mortality in Africa; Could malaria co-infection provide the missing link?
2022 Volume 22, Issue 1, Page(s) 78
Abstract: Background: Despite reports of malaria and coronavirus diseases 2019 (COVID-19) co-infection, malaria-endemic regions have so far recorded fewer cases of COVID-19 and deaths from COVID-19, indicating a probable protection from the poor outcome of COVID- ... ...
Abstract | Background: Despite reports of malaria and coronavirus diseases 2019 (COVID-19) co-infection, malaria-endemic regions have so far recorded fewer cases of COVID-19 and deaths from COVID-19, indicating a probable protection from the poor outcome of COVID-19 by malaria. On the contrary, other evidence suggests that malaria might contribute to the death caused by COVID-19. Hence, this paper reviewed existing evidence hypothesizing poor outcome or protection of COVID-19 patients when co-infected with malaria. Methods: PRISMA guidelines for systematic review were employed in this study. Published articles from December 2019 to May 2021on COVID-19 and malaria co-infection and outcome were systematically searched in relevant and accessible databases following a pre-defined strategy. Studies involving human, in vivo animal studies, and in vitro studies were included. Results: Twenty three (23) studies were included in the review out of the 3866 records identified in the selected scientific databases. Nine (9) papers reported on co-infection of COVID-19 and malaria. Five (5) papers provided information about synergism of malaria and COVID-19 poor prognosis, 2 papers reported on syndemic of COVID-19 and malaria intervention, and 7 studies indicated that malaria protects individuals from COVID-19. Conclusions: Low incidence of COVID-19 in malaria-endemic regions supports the hypothesis that COVID-19 poor prognosis is prevented by malaria. Although further studies are required to ascertain this hypothesis, cross-immunity and common immunodominant isotopes provide strong evidence to support this hypothesis. Also, increase in co-inhibitory receptors and atypical memory B cells indicate synergy between COVID-19 and malaria outcome, though, more studies are required to make a definite conclusion. |
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MeSH term(s) | Africa/epidemiology ; Animals ; COVID-19 ; Coinfection/epidemiology ; Humans ; Incidence ; Malaria/complications ; Malaria/epidemiology ; Memory B Cells ; SARS-CoV-2 |
Language | English |
Publishing date | 2022-01-22 |
Publishing country | England |
Document type | Journal Article ; Review |
ZDB-ID | 2041550-3 |
ISSN | 1471-2334 ; 1471-2334 |
ISSN (online) | 1471-2334 |
ISSN | 1471-2334 |
DOI | 10.1186/s12879-022-07064-4 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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