[Drug resistance of Plasmodium falciparum and Plasmodium vivax strains in Cambodia (Cardamone Massif). Morphological characteristics of Plasmodium vivax].

J Lapierre, B Coquelin, A A Galal, J Dupouy-Camet, C Faurant, C Tourte-Schaefer, T Ancelle, F Heyer
Author Information

Abstract

The authors report some failures of chemoprophylaxis and curative treatment of Plasmodium falciparum and Plasmodium vivax malaria. These infections were contracted in the area of the cambodian-thaï border by 8 Europeans treated by various regimens and 34 Cambodians treated by quinine. In the latter group, the quinine failure rate in Plasmodium falciparum infections was about 47% (RII or RIII?) and 17,5% in Plasmodium vivax. Total cure of vivax malaria with usual doses of Primaquine among the Europeans, failed in 3 out of the 6 treated patients. Morphological particularities (abnormal pigment, lack of Schüffner dots) were noticed in these Primaquine resistant vivax strains. A possible relation is considered between Primaquine resistance and these morphological particularities.

MeSH Term

Antimalarials
Cambodia
Dapsone
Drug Combinations
Drug Resistance, Microbial
Drug Therapy, Combination
Female
Humans
Malaria
Male
Plasmodium falciparum
Plasmodium vivax
Primaquine
Pyrimethamine
Quinine
Sulfadoxine

Chemicals

Antimalarials
Drug Combinations
fanasil, pyrimethamine drug combination
Maloprim
Sulfadoxine
Dapsone
Quinine
Primaquine
Pyrimethamine

Word Cloud

Created with Highcharts 10.0.0PlasmodiumvivaxfalciparumtreatedPrimaquinemalariainfectionsEuropeansquinineMorphologicalparticularitiesstrainsresistanceauthorsreportfailureschemoprophylaxiscurativetreatmentcontractedareacambodian-thaïborder8variousregimens34Cambodianslattergroupfailurerate47%RIIRIII?175%Totalcureusualdosesamongfailed36patientsabnormalpigmentlackSchüffnerdotsnoticedresistantpossiblerelationconsideredmorphological[DrugCambodiaCardamoneMassifcharacteristicsvivax]

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