pfk13-Independent Treatment Failure in Four Imported Cases of Plasmodium falciparum Malaria Treated with Artemether-Lumefantrine in the United Kingdom

نویسندگان

  • Colin J. Sutherland
  • Paul Lansdell
  • Mandy Sanders
  • Julian Muwanguzi
  • Donelly A. van Schalkwyk
  • Harparkash Kaur
  • Debbie Nolder
  • Julie Tucker
  • Hayley M. Bennett
  • Thomas D. Otto
  • Matthew Berriman
  • Trupti A. Patel
  • Roderick Lynn
  • Effrossyni Gkrania-Klotsas
  • Peter L. Chiodini
چکیده

We present case histories of four patients treated with artemether-lumefantrine for falciparum malaria in UK hospitals in 2015 to 2016. Each subsequently presented with recurrent symptoms and Plasmodium falciparum parasitemia within 6 weeks of treatment with no intervening travel to countries where malaria is endemic. Parasite isolates, all of African origin, harbored variants at some candidate resistance loci. No evidence of pfk13-mediated artemisinin resistance was found. Vigilance for signs of unsatisfactory antimalarial efficacy among imported cases of malaria is recommended.

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عنوان ژورنال:

دوره 61  شماره 

صفحات  -

تاریخ انتشار 2017