{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T14:44:50Z","timestamp":1786373090244,"version":"build-2736575974"},"reference-count":43,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["CJASN"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background and objectives<\/jats:title>\n                    <jats:p>Malaria, a potentially life-threatening disease, is the most prevalent endemic infectious disease worldwide. In the modern era, the spectrum of glomerular involvement observed in patients after malarial infections remains poorly described.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design, setting, participants, &amp; measurements<\/jats:title>\n                    <jats:p>We therefore performed a retrospective multicenter study to assess the clinical, biologic, pathologic, and therapeutic characteristics of patients with glomerular disease demonstrated by kidney biopsy in France within 3 months of an acute malaria episode.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We identified 23 patients (12 men), all but 1 of African ancestry and including 10 patients with concomitant HIV infection. All of the imported cases were in French citizens living in France who had recently traveled back to France from an endemic area and developed malaria after their return to France. Eleven patients had to be admitted to an intensive care unit at presentation.\n                      <jats:italic toggle=\"yes\">Plasmodium falciparum<\/jats:italic>\n                      was detected in 22 patients, and\n                      <jats:italic toggle=\"yes\">Plasmodium malariae<\/jats:italic>\n                      was detected in 1 patient. Kidney biopsy was performed after the successful treatment of malaria, a mean of 24 days after initial presentation. At this time, all patients displayed AKI, requiring KRT in 12 patients. Nephrotic syndrome was diagnosed in 17 patients. Pathologic findings included FSGS in 21 patients and minimal change nephrotic syndrome in 2 patients. Among patients with FSGS, 18 had collapsing glomerulopathy (including 9 patients with HIV-associated nephropathy). In four patients, immunohistochemistry with an antibody targeting\n                      <jats:italic toggle=\"yes\">P. falciparum<\/jats:italic>\n                      histidine-rich protein-2 demonstrated the presence of the malaria antigen in tubular cells but not in podocytes or parietal epithelial cells. An analysis of the apoL1 risk genotype showed that high-risk variants were present in all seven patients tested. After a mean follow-up of 23 months, eight patients required KRT (kidney transplantation in two patients), and mean eGFR for the other patients was 51 ml\/min per 1.73 m\n                      <jats:sup>2<\/jats:sup>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      In patients of African ancestry, imported\n                      <jats:italic toggle=\"yes\">Plasmodium<\/jats:italic>\n                      infection may be a new causal factor for secondary FSGS, particularly for collapsing glomerulopathy variants in an APOL1 high-risk variant background.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.2215\/cjn.00590120","type":"journal-article","created":{"date-parts":[[2020,5,22]],"date-time":"2020-05-22T14:31:06Z","timestamp":1590157866000},"page":"964-972","source":"Crossref","is-referenced-by-count":21,"title":["Malaria, Collapsing Glomerulopathy, and Focal and Segmental Glomerulosclerosis"],"prefix":"10.2215","volume":"15","author":[{"given":"Ariane","family":"Amoura","sequence":"first","affiliation":[{"name":"Assistance Publique des H\u00f4pitaux de Paris, H\u00f4pitaux Universitaires Henri Mondor, Service de N\u00e9phrologie et Transplantation, Centre de R\u00e9f\u00e9rence Maladie Rare Syndrome N\u00e9phrotique Idiopathique, Cr\u00e9teil, France"},{"name":"Universit\u00e9 Paris Est Cr\u00e9teil, Institut National de la Sant\u00e9 et de la Recherche M\u00e9dicale U955, Institut Mondor de Recherche Biom\u00e9dicale, Equipe 21, Cr\u00e9teil, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6015-3979","authenticated-orcid":false,"given":"Anissa","family":"Moktefi","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Est Cr\u00e9teil, Institut National de la Sant\u00e9 et de la Recherche M\u00e9dicale U955, Institut Mondor de Recherche Biom\u00e9dicale, Equipe 21, Cr\u00e9teil, France"},{"name":"Assistance Publique des H\u00f4pitaux de Paris, H\u00f4pitaux Universitaires Henri Mondor, D\u00e9partement de Pathologie, Cr\u00e9teil, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthieu","family":"Halfon","sequence":"additional","affiliation":[{"name":"Assistance Publique des H\u00f4pitaux de Paris, H\u00f4pital Bichat-Claude-Bernard, Service de N\u00e9phrologie, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3075-7739","authenticated-orcid":false,"given":"Alexandre","family":"Karras","sequence":"additional","affiliation":[{"name":"Assistance Publique des H\u00f4pitaux de Paris, H\u00f4pital Europ\u00e9en Georges Pompidou, Service de N\u00e9phrologie, Paris, France"},{"name":"Facult\u00e9 de M\u00e9decine Paris-Descartes, Universit\u00e9 de Paris, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C\u00e9dric","family":"Rafat","sequence":"additional","affiliation":[{"name":"Assistance Publique des H\u00f4pitaux de Paris, H\u00f4pital Universitaire Tenon, Urgences N\u00e9phrologiques et Transplantation R\u00e9nale, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Baptiste","family":"Gibier","sequence":"additional","affiliation":[{"name":"University of Lille, Centre Hospitalier Universitaire de Lille, Institut de Pathologie, Centre de Biologie Pathologie, Institut National de la Sant\u00e9 et de la Recherche M\u00e9dicale, Unit\u00e9 Mixte de Recherche 1172, Lille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick J.","family":"Gleeson","sequence":"additional","affiliation":[{"name":"Institut National de la Sant\u00e9 et de la Recherche M\u00e9dicale U1149, Immunoreceptors and Renal Immunopathology Laboratory, Universit\u00e9 Diderot, Paris, France"},{"name":"Royal College of Physicians of Ireland, Division of Nephrology, Dublin, Republic of Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aude","family":"Servais","sequence":"additional","affiliation":[{"name":"Assistance Publique des H\u00f4pitaux de Paris, H\u00f4pital Universitaire Necker-Enfants Malades, Service de N\u00e9phrologie et Transplantation, Centre de R\u00e9f\u00e9rence Maladie Rare Syndrome N\u00e9phrotique Idiopathique, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Argy","sequence":"additional","affiliation":[{"name":"Assistance Publique des H\u00f4pitaux de Paris, H\u00f4pital Bichat-Claude-Bernard, Laboratoire de Parasitologie-Mycologie M\u00e9dicale, Centre National de R\u00e9f\u00e9rence du Paludisme, Paris, France"},{"name":"Institut pour la Recherche et le D\u00e9veloppement, Universit\u00e9 de Paris, Facult\u00e9 de Pharmacie, M\u00e8re et enfant en milieu tropical Unit\u00e9 Mixte de Recherche 261, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pascale","family":"Maill\u00e9","sequence":"additional","affiliation":[{"name":"Assistance Publique des H\u00f4pitaux de Paris, H\u00f4pitaux Universitaires Henri Mondor, D\u00e9partement de Pathologie, Cr\u00e9teil, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xavier","family":"Belenfant","sequence":"additional","affiliation":[{"name":"Groupe 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l\u2019environnement, Centre de recherche en CardioVasculaire et Nutrition, Assistance Publique - H\u00f4pitaux de Marseille, Centre Hospitalier Universitaire de la Conception, Centre de N\u00e9phrologie et Transplantation R\u00e9nale, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandrine","family":"Houze","sequence":"additional","affiliation":[{"name":"Assistance Publique des H\u00f4pitaux de Paris, H\u00f4pital Bichat-Claude-Bernard, Laboratoire de Parasitologie-Mycologie M\u00e9dicale, Centre National de R\u00e9f\u00e9rence du Paludisme, Paris, France"},{"name":"Institut pour la Recherche et le D\u00e9veloppement, Universit\u00e9 de Paris, Facult\u00e9 de Pharmacie, M\u00e8re et enfant en milieu tropical Unit\u00e9 Mixte de Recherche 261, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dil","family":"Sahali","sequence":"additional","affiliation":[{"name":"Assistance Publique des H\u00f4pitaux de Paris, 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