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In vivo microscopy of hemozoin: towards a needle free diagnostic for malaria.

Abstract
Clinical diagnosis of malaria suffers from poor specificity leading to overtreatment with antimalarial medications. Alternatives, like blood smear microscopy or antigen-based tests, require a blood sample. We investigate in vivo microscopy as a needle-free malaria diagnostic. Two optical signatures, birefringence and absorbance, of the endogenous malaria by-product hemozoin were evaluated as in vivo optical biomarkers. Hemozoin birefringence was difficult to detect in highly scattering tissue; however, hemozoin absorbance was observed in increasingly complex biological environments and detectable over a clinically-relevant range of parasitemia in vivo in a P. yoelii-infected mouse model of malaria.
AuthorsJennifer L Burnett, Jennifer L Carns, Rebecca Richards-Kortum
JournalBiomedical optics express (Biomed Opt Express) Vol. 6 Issue 9 Pg. 3462-74 (Sep 01 2015) ISSN: 2156-7085 [Print] United States
PMID26417515 (Publication Type: Journal Article)

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