Abstract:
BACKGROUND:Imported cases of multidrug resistant Plasmodium falciparum and treatment failure with artemisinin-based regimens, although rare, have been described also in Western countries and their management is often challenging. This is also due to an inadequate knowledge and implementation of health prevention measures. CASE REPORT:A complex case of imported malaria caused by Plasmodium vivax/P. falciparum isolates in a patient who was not taking chemoprophylaxis while he was travelling in Cambodia is reported in this article. After failures of artemisinin-based and both oral and intravenous quinine-based regimens, a multidrug resistant P. falciparum was detected. The patient was successfully treated with atovaquone-proguanil. CONCLUSIONS:This experience highlights the importance of a careful management that should be based not only on the most up-to-date guidelines, but also on the awareness of a rapidly evolving scenario.
journal_name
Malar Jjournal_title
Malaria journalauthors
Dell'Acqua R,Fabrizio C,Di Gennaro F,Lo Caputo S,Saracino A,Menegon M,L'Episcopia M,Severini C,Monno L,Castelli F,Angarano Gdoi
10.1186/s12936-017-1795-ysubject
Has Abstractpub_date
2017-04-14 00:00:00pages
149issue
1issn
1475-2875pii
10.1186/s12936-017-1795-yjournal_volume
16pub_type
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