Malarone treatment failure and in vitro confirmation of resistance of Plasmodium falciparum isolate from Lagos, Nigeria.

Autor: Fivelman, Quinton L., Butcher, Geoffrey A., Adagu, Ipemida S., Warhurst, David C., Pasvol, Geoffrey
Předmět:
Zdroj: Malaria Journal; 2002, Vol. 1, p1-4, 4p
Abstrakt: We report the first in vitro and genetic confirmation of Malarone® (GlaxoSmithKline; atovaquone and proguanil hydrochloride) resistance in Plasmodium falciparum acquired in Africa. On presenting with malaria two weeks after returning from a 4-week visit to Lagos, Nigeria without prophylaxis, a male patient was given a standard 3-day treatment course of Malarone®. Twenty-eight days later the parasitaemia recrudesced. Parasites were cultured from the blood and the isolate (NGATV01) was shown to be resistant to atovaquone and the antifolate pyrimethamine. The cytochrome b gene of isolate NGATV01 showed a single mutation, Tyr268Asn which has not been seen previously. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index