Early treatment failure during treatment of <it>Plasmodium falciparum</it> malaria with atovaquone-proguanil in the Republic of Ivory Coast
<p>Abstract</p> <p>The increased spread of drug-resistant malaria highlights the need for alternative drugs for treatment and chemoprophylaxis. The combination of atovaquone‐proguanil (Malarone®) has shown high efficacy against <it>Plasmodium falciparum</it> with only m...
Main Authors: | , , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2012-05-01
|
Series: | Malaria Journal |
Subjects: | |
Online Access: | http://www.malariajournal.com/content/11/1/146 |
_version_ | 1811298699403329536 |
---|---|
author | Wurtz Nathalie Pascual Aurélie Marin-Jauffre Adeline Bouchiba Housem Benoit Nicolas Desbordes Marc Martelloni Maryse de Santi Vincent Richa Georges Taudon Nicolas Pradines Bruno Briolant Sébastien |
author_facet | Wurtz Nathalie Pascual Aurélie Marin-Jauffre Adeline Bouchiba Housem Benoit Nicolas Desbordes Marc Martelloni Maryse de Santi Vincent Richa Georges Taudon Nicolas Pradines Bruno Briolant Sébastien |
author_sort | Wurtz Nathalie |
collection | DOAJ |
description | <p>Abstract</p> <p>The increased spread of drug-resistant malaria highlights the need for alternative drugs for treatment and chemoprophylaxis. The combination of atovaquone‐proguanil (Malarone®) has shown high efficacy against <it>Plasmodium falciparum</it> with only mild side-effects. Treatment failures have been attributed to suboptimal dosages or to parasite resistance resulting from a point mutation in the <it>cytochrome b</it> gene. In this paper, a case of early treatment failure was reported in a patient treated with atovaquone-proguanil; this failure was not associated with a mutation in the parasite <it>cytochrome b</it> gene, with impaired drug bioavailability, or with re-infection.</p> |
first_indexed | 2024-04-13T06:24:06Z |
format | Article |
id | doaj.art-ece5613526434581b5998913a8cc0ba2 |
institution | Directory Open Access Journal |
issn | 1475-2875 |
language | English |
last_indexed | 2024-04-13T06:24:06Z |
publishDate | 2012-05-01 |
publisher | BMC |
record_format | Article |
series | Malaria Journal |
spelling | doaj.art-ece5613526434581b5998913a8cc0ba22022-12-22T02:58:31ZengBMCMalaria Journal1475-28752012-05-0111114610.1186/1475-2875-11-146Early treatment failure during treatment of <it>Plasmodium falciparum</it> malaria with atovaquone-proguanil in the Republic of Ivory CoastWurtz NathaliePascual AurélieMarin-Jauffre AdelineBouchiba HousemBenoit NicolasDesbordes MarcMartelloni Marysede Santi VincentRicha GeorgesTaudon NicolasPradines BrunoBriolant Sébastien<p>Abstract</p> <p>The increased spread of drug-resistant malaria highlights the need for alternative drugs for treatment and chemoprophylaxis. The combination of atovaquone‐proguanil (Malarone®) has shown high efficacy against <it>Plasmodium falciparum</it> with only mild side-effects. Treatment failures have been attributed to suboptimal dosages or to parasite resistance resulting from a point mutation in the <it>cytochrome b</it> gene. In this paper, a case of early treatment failure was reported in a patient treated with atovaquone-proguanil; this failure was not associated with a mutation in the parasite <it>cytochrome b</it> gene, with impaired drug bioavailability, or with re-infection.</p>http://www.malariajournal.com/content/11/1/146MalariaPlasmodium falciparumMalarone®Atovaquone-proguanilCytochrome bResistanceClinical failurein vitroAnti-malarial drug |
spellingShingle | Wurtz Nathalie Pascual Aurélie Marin-Jauffre Adeline Bouchiba Housem Benoit Nicolas Desbordes Marc Martelloni Maryse de Santi Vincent Richa Georges Taudon Nicolas Pradines Bruno Briolant Sébastien Early treatment failure during treatment of <it>Plasmodium falciparum</it> malaria with atovaquone-proguanil in the Republic of Ivory Coast Malaria Journal Malaria Plasmodium falciparum Malarone® Atovaquone-proguanil Cytochrome b Resistance Clinical failure in vitro Anti-malarial drug |
title | Early treatment failure during treatment of <it>Plasmodium falciparum</it> malaria with atovaquone-proguanil in the Republic of Ivory Coast |
title_full | Early treatment failure during treatment of <it>Plasmodium falciparum</it> malaria with atovaquone-proguanil in the Republic of Ivory Coast |
title_fullStr | Early treatment failure during treatment of <it>Plasmodium falciparum</it> malaria with atovaquone-proguanil in the Republic of Ivory Coast |
title_full_unstemmed | Early treatment failure during treatment of <it>Plasmodium falciparum</it> malaria with atovaquone-proguanil in the Republic of Ivory Coast |
title_short | Early treatment failure during treatment of <it>Plasmodium falciparum</it> malaria with atovaquone-proguanil in the Republic of Ivory Coast |
title_sort | early treatment failure during treatment of it plasmodium falciparum it malaria with atovaquone proguanil in the republic of ivory coast |
topic | Malaria Plasmodium falciparum Malarone® Atovaquone-proguanil Cytochrome b Resistance Clinical failure in vitro Anti-malarial drug |
url | http://www.malariajournal.com/content/11/1/146 |
work_keys_str_mv | AT wurtznathalie earlytreatmentfailureduringtreatmentofitplasmodiumfalciparumitmalariawithatovaquoneproguanilintherepublicofivorycoast AT pascualaurelie earlytreatmentfailureduringtreatmentofitplasmodiumfalciparumitmalariawithatovaquoneproguanilintherepublicofivorycoast AT marinjauffreadeline earlytreatmentfailureduringtreatmentofitplasmodiumfalciparumitmalariawithatovaquoneproguanilintherepublicofivorycoast AT bouchibahousem earlytreatmentfailureduringtreatmentofitplasmodiumfalciparumitmalariawithatovaquoneproguanilintherepublicofivorycoast AT benoitnicolas earlytreatmentfailureduringtreatmentofitplasmodiumfalciparumitmalariawithatovaquoneproguanilintherepublicofivorycoast AT desbordesmarc earlytreatmentfailureduringtreatmentofitplasmodiumfalciparumitmalariawithatovaquoneproguanilintherepublicofivorycoast AT martellonimaryse earlytreatmentfailureduringtreatmentofitplasmodiumfalciparumitmalariawithatovaquoneproguanilintherepublicofivorycoast AT desantivincent earlytreatmentfailureduringtreatmentofitplasmodiumfalciparumitmalariawithatovaquoneproguanilintherepublicofivorycoast AT richageorges earlytreatmentfailureduringtreatmentofitplasmodiumfalciparumitmalariawithatovaquoneproguanilintherepublicofivorycoast AT taudonnicolas earlytreatmentfailureduringtreatmentofitplasmodiumfalciparumitmalariawithatovaquoneproguanilintherepublicofivorycoast AT pradinesbruno earlytreatmentfailureduringtreatmentofitplasmodiumfalciparumitmalariawithatovaquoneproguanilintherepublicofivorycoast AT briolantsebastien earlytreatmentfailureduringtreatmentofitplasmodiumfalciparumitmalariawithatovaquoneproguanilintherepublicofivorycoast |