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Plasmodium-specific polymerase chain reaction (PCR) primers allowed detection of infections with very low-level parasitemia for 3 species of malaria parasites infecting Anolis lizards at 2 Caribbean sites, Puerto Rico and Saba, Netherlands Antilles. A verification study, using a single-tube nested PCR to eliminate contamination, showed that infections as low as 1 parasite per millions of erythrocytes could be detected by amplifying a 673 bp fragment of the cytochrome b gene. Very low-level parasitemia infections, subpatent under the microscope, were common in A. sabanus on Saba sites, with no significant seasonal difference (31% of infections appearing uninfected by microscopic examination in summer were found infected by PCR, 38% in winter). At the Puerto Rico site, the subpatent infections were also common in A. gundlachi, but were more prevalent in winter (53%) than in summer (17%). A similar high frequency of subpatent infections is known from studies on human and bird malaria, but a previous PCR-based study on a temperate lizard malaria system found few such low-level infections. Differences in the prevalence of subpatent infections by site and season suggest transmission biology may select for distinct life history strategies by the parasite.

The ecology of 2 parasites, Plasmodium floridense and Plasmodium azurophilum, was studied in the endemic lizard, Anolis sabanus, on Saba island in the eastern Caribbean. Prevalence of the two parasite species was similar, but prevalence varied among sites. Lowest prevalence occurred at dry, windy sites or cool, wet mountain peaks (0-20%); the parasites were more common at most other locations on the island (40-80% infected; overall prevalence = 47%). High and low prevalence sites sometimes were only a few hundred meters apart. Prevalence was similar for males and females but increased with body size except for a decline in the largest ( = oldest) lizards. A surplus of mixed infections (P. floridense and P. azurophilum together in the same host) existed compared with chance proportions. Parasitemia generally was low; 70% of P. floridense infections were < or = 100 parasites/10,000 erythrocytes, and 70% of P. azurophilum infections were < or = 50/10,000. Parasitemia in solitary infections averaged more than twice that seen in mixed infections for both species.