# Baseline Procalcitonin and C-Reactive Protein Levels in Asymptomatic Individuals From West Africa With and Without P. falciparum Parasitemia

**Authors:** Ricardo Strauss, Solomon T Wafula, Robin Kobbe, Eva Lorenz, Oumou Maiga Ascofaré, Doris Winter, Anthony Afum-Adjei Awuah, John H Amuasi, Boubacar Coulibaly, Ali Sié, Felix Eckelt, Jürgen May, Nicole S Struck

PMC · DOI: 10.1093/ofid/ofag078 · Open Forum Infectious Diseases · 2026-02-23

## TL;DR

This study measured inflammation markers in asymptomatic West Africans with and without malaria, finding that one marker was more common in malaria cases.

## Contribution

The study is the first to report procalcitonin levels in asymptomatic malaria-positive individuals in West Africa.

## Key findings

- C-reactive protein levels were not affected by malaria parasitemia.
- Procalcitonin was more frequently detectable in malaria-positive individuals.
- The results suggest a potential link between parasite density and procalcitonin levels.

## Abstract

We assessed baseline C-reactive protein (CRP) and procalcitonin levels in asymptomatic individuals from malaria-endemic West Africa. C-reactive protein remained unaffected by Plasmodium falciparum parasitemia, while procalcitonin (PCT) was more frequently detectable among malaria-positive individuals. These findings support that CRP thresholds remain valid and highlight the need to explore parasite density–PCT associations.

## Linked entities

- **Diseases:** malaria (MONDO:0005136)
- **Species:** Plasmodium falciparum (taxon 5833)

## Full-text entities

- **Genes:** UROD (uroporphyrinogen decarboxylase) [NCBI Gene 7389] {aka PCT, UPD}, CRP (C-reactive protein) [NCBI Gene 1401] {aka PTX1}
- **Diseases:** chronic malaria (MESH:C531736), viral infection (MESH:D014777), malaria coinfection (MESH:D060085), inflammation (MESH:D007249), chronic parasitemia (MESH:D018512), P. falciparum infection (MESH:D016778), infected (MESH:D007239), P. falciparum Parasitemia (OMIM:248310), COVID (MESH:D000086382), parasite (MESH:D010272), bacterial (MESH:D001424), Infectious Diseases (MESH:D003141), chronic (MESH:D002908), Malaria (MESH:D008288), fever (MESH:D005334)
- **Chemicals:** SYBR (-), fluorescein (MESH:D019793), EDTA (MESH:D004492), urea (MESH:D014508), polystyrene (MESH:D011137)
- **Species:** Plasmodium falciparum (malaria parasite P. falciparum, species) [taxon 5833], Homo sapiens (human, species) [taxon 9606], Mus musculus (house mouse, species) [taxon 10090], Phocid alphaherpesvirus 1 (no rank) [taxon 47418], Severe acute respiratory syndrome coronavirus 2 (no rank) [taxon 2697049], Plasmodium vivax (malaria parasite P. vivax, species) [taxon 5855]
- **Mutations:** rs2106809, C > T
- **Cell lines:** 3D7 — Mus musculus (Mouse), Hybridoma (CVCL_KS87)

## Full text

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## References

32 references — full list in the complete paper: https://tomesphere.com/paper/PMC12967068/full.md

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Source: https://tomesphere.com/paper/PMC12967068