| Literature DB >> 12057021 |
Quinton L Fivelman1, Geoffrey A Butcher, Ipemida S Adagu, David C Warhurst, Geoffrey Pasvol.
Abstract
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.Entities:
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Year: 2002 PMID: 12057021 PMCID: PMC111499 DOI: 10.1186/1475-2875-1-1
Source DB: PubMed Journal: Malar J ISSN: 1475-2875 Impact factor: 2.979