Skip to main content

Table 1 Reported cases of transfusion- transmitted malaria (TTM) in malaria non-endemic areas

From: A systematic review of transfusion-transmitted malaria in non-endemic areas

Countrya

Year

Donor gender and age

Donor origin and last exposure

Recipient gender and age

Recipient incubation (delayed diagnosis)

Recipient outcome

Blood component transfused

Plasmodium species

Diagnosis method recipient (donor)

References

Canada

Western region

1936

M

Mediterranean area

F

13 years

3 weeks (5 weeks)

Recovery

WB

P. malariae

LM (LM)

[17]

Ontario

1936

M

Romania

25 years

F

26 days (2 weeks)

Recovery

WB

P. malariae

LM (LM)

[18]

Alberta

1977

F

23 years

Africa

2 years

F

60 years

29 days (29 days)

Recovery

WB

P. ovale

LM (IFAT)

[19]

Quebec

1994

N/A

Cameroon

> 3 years

M

63 years

N/A (3 weeks)

Recovery

RBCs, PLTs, FFP

P. falciparum

LM (LM)

[20]

Ontario

1995

M

Mali

4 years

F

24 years

15 days (3 days)

Recovery

RBCs

P. falciparum

LM, PCR (PCR)

[20]

Ontario

1997

F

19 years

Ghana

4 years

F

62 years

21 days (5 weeks)

Recovery

RBCs, FFP

P. falciparum

LM, PCR

[20]

USA

New York

1911

N/A

N/A

M

54 years

11 days

“Pernicious anaemia”

WB

P. vivax

LM

[1]

Colorado

1929

M

32 years

Greece

16 years

F

2½ years

19–25 days (on the day)

Recovery

WB

P. malariae

LM (LM)

[21]

New York

1932

M

Italy

F

1.5 years

4 weeks (17 days)

Recovery

WB

P. malariae

LM

[22]

New York

1932

M

Italy

12 years

M

9 months

6 weeks

Recovery

WB

P. malariae

LM

[22]

New York

1933

F

Greece

F

8 years

< 8 weeks

Death due to pneumonia

WB

P. malariae

LM

[22]

New York

1936

M

Greece

33 years

F

1 year

29 days

Recovery

WB

P. malariae

LM

[22]

New York

1936

M

Colombia

10 years

M

3 years

2 months

Recovery

WB

P. malariae

LM

[22]

New York

1944

M

40 years

North Africa veteran

1 year

F

32 years

11–4 days (35 days)

Recovery

WB

P. malariae

LM (LM)

[23]

Rhode Island

1946

M or F

Italy or New England

F

40 years

2 months (2 days)

Recovery

WB, FFP

P. malariae

LM (LM)

[24]

Pennsylvania

1946

N/A

Army returnee

F

3 weeks (9 days)

Recovery

WB

P. vivax

LM

[25]

California

1968

M

19 years

Vietnam veteran

7 months

M

60 years

4 days (on the day)

N/A

WB

P. falciparum

LM (LM)

[26]

Connecticut

1968

N/A

Mexico

5 years

F

8 months

6 ½ months

Recovery

WB

P. malariae

LM

[27]

Washington state

1968

M

22 years

Vietnam veteran

1 year

F

54 years

13 days (9 days)

Recovery

WB

P. falciparum

LM (LM, IFAT)

[28]

Oklahoma

1968

M

21 years

Vietnam veteran

5 months

F

25 years

16 days (7 days)

Recovery

WB

P. falciparum

LM (LM)

[28]

Washington D.C.

1969

M

Nigeria

> 2 years

M

56 years

17 days (6 days)

Death

WB

P. falciparum

LM (LM, IFAT)

[29]

New York

1970

M

Ghana

1 year

M

34 years

6 days (2 days)

Recovery

WB

P. falciparum

LM (LM, IFAT)

[30]

Chicago

1972

N/A

N/A

M

5 months

16 days (6 days)

Recovery

WB

P. vivax

LM

[31]

New York

1971

N/A

N/A

M

24 years

Multiple transfusions (7 days)

Recovery

WB

P. vivax

LM (IFAT)

[32]

New York

1974

N/A

N/A

F

42 years

9 weeks (on the day)

Recovery

RBCs, PLTs, FFP

P. malariae

LM (IFAT)

[32]

New York

1974

F

53 years

Greece

22 years

F

78 years

Multiple transfusions (~ 30 days)

Recovery

WB, RBCs

P. malariae

LM, IFAT (IFAT)

[33]

New York

1974

M

38 years

Cyprus

4 years

F

42 years

35 days (1 month)

Recovery

RBCs, PLTs, FFP

P. malariae

LM, IFAT (IFAT)

[33]

Tennessee

1974

M

28 years

Nigeria

8 years

F

15 years

3 months (12 days)

Recovery

WB

P. malariae

LM (LM, IFAT)

[34]

Wisconsin

1977

N/A

Africa

recent

F

57 years

Multiple transfusions (28 days)

Death due to refractory leukaemia

PLTs

P. falciparum

LM (LM)

[35]

New York state

1978

M

Ghana

10 months

F

65 years

16 days (1 day)

Recovery

WB, RBCs, FFP

P. falciparum

LM (IFAT)

[36]

California

1980

M

N/A

M

6 years

15 days (2 days)

Recovery

RBCs

P. falciparum

LM (LM)

[37]

California

1982

M

Nigeria

7 years

M

premature

6 weeks

Death due to pneumonia

WB

P. ovale

LM, IFAT (IFAT)

[38]

Boston

1982

N/A

N/A

M

premature

7 weeks (on the day)

Recovery

RBCs

P. malariae

LM (LM)

[39]

Boston

1982

N/A

N/A

M

premature

10 weeks (on the day)

Recovery

RBCs

P. malariae

LM (LM)

[39]

California

1983

M

Guatemala

6 months

M

premature

5 weeks (on the day)

Recovery

WB

P. vivax

LM (LM)

[40]

California

1983

M

South America

6 months

M

infant

14 days (on the day)

Recovery

WB

P. vivax

LM (IFAT)

[40]

Texas

1992

M

19 years

Nigeria

7 months

F

71 years

7 days (on the day)

N/A

RBCs, PLTs

P. falciparum

LM (IFAT)

[41]

Texas

1992

M

19 years

Nigeria

7 months

M

65 years

N/A

N/A

RBCs

P. falciparum

LM (IFAT)

[41]

California

1992

M

55 years

China

44 years

M

44 years

7 months (3 months)

Recovery

RBCs

P. malariae

LM (IFAT)

[41]

Texas

1994

M

Nigeria recent

F

59 years

20 days (on the day)

Recovery

RBCs

P. falciparum

LM (LM, IFAT)

[42]

 Texas

1994

M

Ghana recent

M

46 years

16 days (7 days)

Recovery

RBCs, FFP

P. falciparum

LM (LM, IFAT)

[42]

Pennsylvania

1995

M

Nigeria

3 years

F

72 years

Multiple transfusions

Recovery

RBCs

P. falciparum

LM (LM, IFAT)

[43]

Missouri

1996

M

West Africa

1 year

M

70 years

15 days (on the day)

Death

RBCs

P. falciparum

LM (LM, IFAT, PCR)

[44]

Missouri

1997

M

West Africa

2 years

M

85 years

21 days (on the day)

Death

RBCs

P. falciparum

LM (LM, IFAT, PCR)

[44]

Pennsylvania

1998

M

West Africa

2 years

M

49 years

35 days (on the day)

Recovery

RBCs

P. falciparum

LM (IFAT, PCR)

[44]

Texas

2003

M

Ghana

2 years

69 years

17 days (3 days)

Recovery

RBCs

P. falciparum

LM (LM, PCR, IFAT)

[45]

Texas

2007

M

Nigeria

6 years

F

25 years

Multiple transfusions

Recovery

RBCs

P. falciparum

LM (IFAT)

[46]

Washington D.C.

2007

M

West Africa

F

15 days (on the day)

Recovery

RBCs

P. falciparum

LM, PCR (LM)

[47]

Washington D.C.

2007

M

27 years

Nigeria

3 years

M

27 years

13–28 days (11 days)

Recovery

RBCs

P. falciparum

LM (IFAT, PCR)

[47]

New Jersey

2007

F

30 years

Uganda

> 1 year

M

78 years

1 year

Recovery

RBCs

P. falciparum

LM (IFAT, PCR)

[47]

N/A

2007

M

21 years

Benin

4 years

F

55 years

1 month

Recovery

RBCs, PLTs, FFP

P. falciparum

LM, IFAT, PCR (IFAT, EIA)

[48]

Georgia

2015

M

20 years

Liberia

15 years

M

76 years

6 months (2 days)

Recovery

RBCs, FFP

P. malariae

LM, PCR (LM, PCR, ELISA)

[49]

Colombia

Cali

2011

N/A

Rural area

9 months

F

Premature

Multiple transfusions (on the day)

Recovery

RBCs

P. vivax

LM (PCR)

[50]

Brasil

 Sao Paulo

2008

M

Atlantic forest

1 year

N/A

75 days (on the day)

Recovery

RBCs, PLTs, FFP

P. malariae

LM (LM, PCR, IFAT)

[51]

Spain

Valencia

1987

N/A

Congo

F

32years

7 days (on the day)

N/A

WB

P. falciparum

LM (IFAT)

[52]

Madrid

1997

N/A

Central Africa

F

63 years

3 weeks (4 weeks)

N/A

WB

P. falciparum

LM (IFAT)

[53]

Cordoba

2002

N/A

N/A

F

26 years

Multiple transfusions (128 days)

Recovery

WB, RBCs

P. falciparum

LM

IFAT

[54]

UK

Midlands

1935

M

India

2 years

M

26 years

19 days (5 days)

Recovery

WB

P. vivax

LM (LM)

[55]

London

1938

M

Ceylon

12 years

F

3 months

10 weeks (on the day)

Death

WB

P. malariae

LM (LM)

[56]

Durham

1946

M

Yemen

7 years

F

18 years

7–8 weeks (10 days)

Recovery

WB

P. malariae

LM (LM)

[57]

N/A

1959

M

19 years

Nigeria

1 year

F

41 years

16 days (6 days)

Recovery

WB

P. falciparum

LM (LM)

[58]

Oxford

1966

M

Far East

20 years

M

33 years

10 weeks (1 day)

Recovery

WB, FFP

P. malariae

LM (LM)

[59]

Buckingmanshire

1967

M

Army returnee

M

51 years

N/A

Recovery

FFP

P. malariae

LM (LM)

[60]

Buckingmanshire

1968

M

Africa

18 months

M

49 years

11 days (12 days)

Recovery

WB

P. falciparum

LM (LM, IFAT)

[60]

London

1986

M

Africa

F

72 years

13 days (12 days)

N/A

PLTs

P. falciparum

LM (LM, IFAT)

[61]

London

1986

M

Ghana

F

81 years

14 days

N/A

WB

P. falciparum

LM (IFAT)

[61]

N/A

1994

F

Ghana

1 year

M

15 days (on the day)

N/A

WB

P. falciparum

LM (EIA, IFAT)

[5]

N/A

1997

F

19 years

Ghana

3 years

M

62 years

4 days

Death

WB

P. falciparum

(EIA, IFAT)

[5]

N/A

2003

F

38 years

Ghana

7 years

M

51 years

N/A

Death

WB

P. falciparum

LM (EIA, IFAT)

[5]

Netherlands

Leiden

2011

M

36 years

Africa

Costa Rica

> 4 years

F

59 years

2 months (on the day)

Recovery

RBCs

P. malariae

LM, PCR (LM, IFAT, PCR)

[62]

Germany

Göttingen

1998

N/A

N/A

M

18 months

14 days (9 days)

Recovery

RBCs

P. falciparum

LM

[63]

France

Poitiers

1969

M

Portugal

5 months

F

15 days

(1 month)

Recovery

WB

P. malariae

LM (IFAT)

[64]

Paris

1957

F

Tunisia

27 years

F

32 years

48 days (4 days)

Recovery

WB

P. vivax

LM

[65]

Paris

1973

M

Senegal

13 years

M

30 years

14 days (9 days)

Recovery

WB

P. falciparum

LM (IFAT)

[65]

Paris

1975

N/A

N/A

F

24 years

15 days (18 days)

Recovery

WB

Plasmodium

LM (IFAT)

[66]

Tours

1977

N/A

N/A

F

47 years

15 days (on the day)

Recovery

WB

P. vivax

LM

[67]

Rouen

1976

N/A

Senegal

N/A

12 days (10 days)

Death

N/A

P. falciparum

(IFAT)

[68]

Rouen

1976

N/A

Ivory Coast

N/A

13 days (6 days)

Death

N/A

P. falciparum

(IFAT)

[68]

Rouen

1978

N/A

N/A

N/A

60 days (2 days)

Recovery

N/A

P. malariae

(IFAT)

[68]

Nancy

1979

M

Zaire

1 month

F

29 years

15 days (43 days)

Recovery

RBCs

P. falciparum

P. malariae

LM (IFAT)

[69]

Crèteil

1980

M

Central Africa

M

infant

2 months (3 days)

Recovery

RBCs, FFP

P. malariae

LM

[70]

Aulnay-sous-Bois

1986

N/A

N/A

F

64 years

16 days (on the day)

Recovery

WB

P. ovale

LM

[71]

Libourne

1990

M

Comores

< 6 months

F

39 years

1 month (on the day)

Recovery

WB

P. falciparum

LM

[72]

Le Chesnay

2002

F

19 years

Africa

4 years

M

81 years

13 days (4 days)

Death

RBCs

P. falciparum

LM, IFAT, PCR (IFAT, PCR)

[73]

Tourcoing

2013

N/A

Endemic area

3 years

F

75 years

14 days (8 days)

Death

RBCs

P. falciparum

LM (IFAT, PCR)

[74]

Switzerland

Zurich

1999

M

30 years

Cameroon

6 years

M

70 years

14 days (22 days)

Death

RBCs, FFP

P. falciparum

LM (IFAT, PCR)

[75]

Austria

Wien

1929

M

Endemic area

10 years

N/A

14 days

Recovery

WB

P. vivax

LM

[76]

Italy

Liguria

1963

N/A

N/A

M

Premature

28–40 days

Recovery

WB

P. malariae

LM

[77]

Liguria

1963

N/A

N/A

F

8 years

1–13 days

Recovery

WB

P. vivax

LM

[78]

Liguria

1964

N/A

N/A

F

6 years

Multiple transfusions (4 months)

Recovery

WB

P. vivax

LM

[78]

Sicily

2005

M

Philippine

F

35 years

Multiple transfusions (4 months)

Recovery

WB

P. malariae

LM

[79]

Veneto

2008

N/A

N/A

F

29 years

Morocco

Multiple transfusions (2 weeks)

Recovery

RBCs

P. vivax

LM

[80]

Algeria

Algiers

1918

M

Greece

1 month

F

15 days (few days)

Recovery

WB

P. praecox b

LM (LM)

[13]

Lebanon

Beirut

2007

N/A

N/A

M

28 years

1 ½ months (2 weeks)

Recovery

RBCs

P. falciparum

LM

[81]

Beirut

2010

N/A

N/A

F

46 years

1 month (2 days)

Recovery

RBCs

P. ovale

LM

[82]

India

Shimla

2006

N/A

N/A

F

47 years

12 days (on the day)

Recovery

WB

P. falciparum

LM

[83]

Korea

 Taegu, South Corea

2000

M

21 years

Endemic area

M

1 year

15 days (5 days)

Recovery

RBCs, FFP

P. vivax

LM (LM, PCR)

[84]

Thailand

Bangkok

2011

M

teenager

Endemic area

3 weeks

F

62 years

15 days (on the day)

Recovery

RBCs

P. knowlesi

LM, PCR

[85]

Malaysia

Kuala Lumpur

2012

M

26 years

Myanmar

9 months

M

12 years

1 week (on the day)

N/A

WB

P. vivax

LM, PCR (PCR)

[86]

Sabah

2015

M

51 years

Endemic area

F

23 years

16 days (on the day)

Recovery

WB

P. knowlesi

LM, PCR (LM, PCR)

[87]

  1. N/A data not available, WB whole blood, RBCs red blood cells, PLTs platelets, FFP fresh frozen plasma, LM light microscopy, ELISA enzyme-linked immunosorbent assay, IFAT indirect immunofluorescent antibody test, PCR polymerase chain reaction
  2. aOnly non-endemic areas of the country if malaria endemic were included
  3. bPossible misidentification of P. falciparum