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...

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Main Authors: 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
Format: Article
Language:English
Published: BMC 2012-05-01
Series:Malaria Journal
Subjects:
Online Access:http://www.malariajournal.com/content/11/1/146
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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>
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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
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