H. Kissler, Is multiple sclerosis caused by a silent infection with malarial parasites? A historico-epidemiological approach: part II, MED HYPOTH, 57(3), 2001, pp. 292-301
Citations number
72
Categorie Soggetti
Research/Laboratory Medicine & Medical Tecnology","Medical Research General Topics
The comparison between the old map of malaria and the later distribution of
multiple sclerosis (MS) first carried out in the USA (Part 1) is continued
in Europe. The Italian 'dilemma' (Kurtzke), meaning the disappearance of t
he north-south gradient in Italy by recent surveys, can be solved when cons
idering the dependence of malaria transmission in relation to the altitude.
Further, the high prevalence of MS in earlier times in Mississippi, Louisi
anna and in the former province of Lucania in Italy can be explained by pre
ceding epidemics of malaria. Brickner's therapeutic trial with quinine in c
ases of MS patients is reevaluated, and by this the Jarisch-Herxheimer reac
tion is shown to exist in MS too. The possible significance of the old and
rather forgotten provocative methods for the diagnosis of latent malaria is
discussed. (C) 2001 Harcourt Publishers Ltd.