Chloroquine resistant vivax malaria in a pregnant woman on the western border of Thailand

被引:54
作者
Rijken, Marcus J. [1 ]
Boel, Machteld E. [1 ]
Russell, Bruce [2 ]
Imwong, Mallika [3 ]
Leimanis, Mara L. [1 ]
Phyo, Aung Pyae [1 ]
Muehlenbachs, Atis [4 ]
Lindegardh, Niklas [5 ]
McGready, Rose [1 ,5 ]
Renia, Laurent [2 ]
Snounou, Georges [2 ,6 ,7 ]
Singhasivanon, Pratap
Nosten, Francois [1 ,5 ]
机构
[1] Shoklo Malaria Res Unit, Tak 63110, Thailand
[2] ASTAR, Lab Malaria Immunobiol, Singapore Immunol Network, Biopolis, Singapore, Singapore
[3] Mahidol Univ, Fac Trop Med, Dept Mol Trop Med & Genet, Bangkok 10400, Thailand
[4] Univ Washington, Seattle, WA 98195 USA
[5] Univ Oxford, Nuffield Dept Clin Med, Ctr Trop Med, CCVTM, Oxford OX3 7LJ, England
[6] Univ Paris 06, INSERM, UMR S 945, F-75013 Paris, France
[7] Univ Paris 06, Fac Med Pitie Salpetriere, F-75013 Paris, France
来源
MALARIA JOURNAL | 2011年 / 10卷
基金
英国惠康基金;
关键词
IN-VITRO SENSITIVITY; PLASMODIUM-VIVAX; AMODIAQUINE; INFECTION; EFFICACY; MYANMAR;
D O I
10.1186/1475-2875-10-113
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Chloroquine (CQ) resistant vivax malaria is spreading. In this case, Plasmodium vivax infections during pregnancy and in the postpartum period were not satisfactorily cleared by CQ, despite adequate drug concentrations. A growth restricted infant was delivered. Poor susceptibility to CQ was confirmed in-vitro and molecular genotyping was strongly suggestive of true recrudescence of P. vivax. This is the first clinically and laboratory confirmed case of two high-grade CQ resistant vivax parasite strains from Thailand.
引用
收藏
页数:5
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