Blood stage antimalarial efficacy of primaquine in Plasmodium vivax malaria.

The blood stage antimalarial efficacy of primaquine (0.25 mg of base/kg of body weight/day over 14 days) and chloroquine (25 mg of base/kg over 3 days) were compared in 85 adult Thai men with acute Plasmodium vivax malaria. Most (75%) had at least one malaria episode previously. Parasite clearance t...

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Auteurs principaux: Pukrittayakamee, S, Vanijanonta, S, Chantra, A, Clemens, R, White, N
Format: Journal article
Langue:English
Publié: 1994
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author Pukrittayakamee, S
Vanijanonta, S
Chantra, A
Clemens, R
White, N
author_facet Pukrittayakamee, S
Vanijanonta, S
Chantra, A
Clemens, R
White, N
author_sort Pukrittayakamee, S
collection OXFORD
description The blood stage antimalarial efficacy of primaquine (0.25 mg of base/kg of body weight/day over 14 days) and chloroquine (25 mg of base/kg over 3 days) were compared in 85 adult Thai men with acute Plasmodium vivax malaria. Most (75%) had at least one malaria episode previously. Parasite clearance times after primaquine alone (n = 30) were slower than after chloroquine (n = 30) or combined chloroquine-primaquine (n = 25), but all patients had a satisfactory initial therapeutic response. P. vivax malaria recurred in 10 (17%) of 60 patients followed for > or = 2 months and Plasmodium falciparum malaria developed in another 5 (8%) without reexposure to infection. Recurrences occurred < or = 5 weeks after primaquine treatment (n = 4), suggesting recrudescence, whereas recurrences after chloroquine treatment (n = 6) occurred > or = 5 weeks later, suggesting relapse. Vivax malaria responds well initially to either primaquine or chloroquine. The blood stage antimalarial activity of primaquine may mask chloroquine resistance in combined regimens.
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spelling oxford-uuid:b31da9c5-3da2-408c-863a-8c00955be68d2022-03-27T04:16:44ZBlood stage antimalarial efficacy of primaquine in Plasmodium vivax malaria.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:b31da9c5-3da2-408c-863a-8c00955be68dEnglishSymplectic Elements at Oxford1994Pukrittayakamee, SVanijanonta, SChantra, AClemens, RWhite, NThe blood stage antimalarial efficacy of primaquine (0.25 mg of base/kg of body weight/day over 14 days) and chloroquine (25 mg of base/kg over 3 days) were compared in 85 adult Thai men with acute Plasmodium vivax malaria. Most (75%) had at least one malaria episode previously. Parasite clearance times after primaquine alone (n = 30) were slower than after chloroquine (n = 30) or combined chloroquine-primaquine (n = 25), but all patients had a satisfactory initial therapeutic response. P. vivax malaria recurred in 10 (17%) of 60 patients followed for > or = 2 months and Plasmodium falciparum malaria developed in another 5 (8%) without reexposure to infection. Recurrences occurred < or = 5 weeks after primaquine treatment (n = 4), suggesting recrudescence, whereas recurrences after chloroquine treatment (n = 6) occurred > or = 5 weeks later, suggesting relapse. Vivax malaria responds well initially to either primaquine or chloroquine. The blood stage antimalarial activity of primaquine may mask chloroquine resistance in combined regimens.
spellingShingle Pukrittayakamee, S
Vanijanonta, S
Chantra, A
Clemens, R
White, N
Blood stage antimalarial efficacy of primaquine in Plasmodium vivax malaria.
title Blood stage antimalarial efficacy of primaquine in Plasmodium vivax malaria.
title_full Blood stage antimalarial efficacy of primaquine in Plasmodium vivax malaria.
title_fullStr Blood stage antimalarial efficacy of primaquine in Plasmodium vivax malaria.
title_full_unstemmed Blood stage antimalarial efficacy of primaquine in Plasmodium vivax malaria.
title_short Blood stage antimalarial efficacy of primaquine in Plasmodium vivax malaria.
title_sort blood stage antimalarial efficacy of primaquine in plasmodium vivax malaria
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AT clemensr bloodstageantimalarialefficacyofprimaquineinplasmodiumvivaxmalaria
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