page_title: Plasmodium
section_title: Vertebrates
hierarchical_section_title: Plasmodium / Distribution / Vertebrates
caption_attribution_description: Male Carolina Anole with partially expanded dewlap.
context_page_description: Plasmodium is a genus of unicellular eukaryotes that are obligate parasites of vertebrates and insects. The life cycles of Plasmodium species involve development in a blood-feeding insect host which then injects parasites into a vertebrate host during a blood meal. Parasites grow within a vertebrate body tissue before entering the bloodstream to infect red blood cells. The ensuing destruction of host red blood cells can result in disease, called malaria. During this infection, some parasites are picked up by a blood-feeding insect, continuing the life cycle.
  Plasmodium is a member of the phylum Apicomplexa, a large group of parasitic eukaryotes. Within Apicomplexa, Plasmodium is in the order Haemosporida and family Plasmodiidae. Over 200 species of Plasmodium have been described, many of which have been subdivided into 14 subgenera based on parasite morphology and host range. Evolutionary relationships among different Plasmodium species do not always follow taxonomic boundaries; some species that are morphologically similar or infect the same host turn out to be distantly related.
  Species of Plasmodium are distributed globally wherever suitable hosts are found.
context_section_description: Plasmodium parasites have been described in a broad array of vertebrate hosts including reptiles, birds, and mammals. While many species can infect more than one vertebrate host, they are generally specific to one of these classes (such as birds).
  Humans are primarily infected by five species of Plasmodium, with the overwhelming majority of severe disease and death caused by Plasmodium falciparum. Some species that infect humans can also infect other primates, and zoonoses of certain species (e.g. P. knowlesi) from other primates to humans are common. Non-human primates also contain a variety of Plasmodium species that do not generally infect humans. Some of these can cause severe disease in primates, while others can remain in the host for prolonged periods without causing disease. Many other mammals also carry Plasmodium species, such as a variety of rodents, ungulates, and bats. Again, some species of Plasmodium can cause severe disease in some of these hosts, while many appear not to.
  Over 150 species of Plasmodium infect a broad variety of birds. In general each species of Plasmodium infects one to a few species of birds. Plasmodium parasites that infect birds tend to persist in a given host for years or for the life time of the host, although in some cases Plasmodium infections can result in severe illness and rapid death. Unlike with Plasmodium species infecting mammals, those infecting birds are distributed across the globe.
  Species from several subgenera of Plasmodium infect diverse reptiles. Plasmodium parasites have been described in most lizard families and, like avian parasites, are spread worldwide. Again, parasites can result either in severe disease or be apparently asymptomatic depending on the parasite and the host.
  A number of drugs have been developed over the years to control Plasmodium infection in vertebrate hosts, particularly in humans. Quinine was used as a frontline antimalarial from the 17th century until widespread resistance emerged in the early 20th century. Resistance to quinine spurred the development of a broad array of antimalarial medications through the 20th century including chloroquine, proguanil, atovaquone, sulfadoxine/pyrimethamine, mefloquine, and artemisinin. In all cases, parasites resistant to a given drug have emerged within a few decades of the drugs deployment. To combat this, antimalarial drugs are frequently used in combination, with artemisinin combination therapies currently the gold standard for treatment. In general, antimalarial drugs target the life stages of Plasmodium parasites that reside within vertebrate red blood cells, as these are the stages that tend to cause disease. However, drugs targeting other stages of the parasite life cycle are under development in order to prevent infection in travelers and to prevent transmission of sexual stages to insect hosts.
caption: Over 3000 species of lizard, including the Carolina anole (Anolis carolinensis), carry some 90 kinds of malaria.
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