scholarly journals Several Plasmodium vivax relapses after correct primaquine treatment in a patient with impaired cytochrome P450 2D6 function

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Alexandra Martin Ramírez ◽  
Carlos Lombardia González ◽  
Tamara Soler Maniega ◽  
Ángela Gutierrez Liarte ◽  
Diego Domingo García ◽  
...  
2020 ◽  
Vol 114 (9) ◽  
pp. 700-703
Author(s):  
Noor Hafizan Mat Salleh ◽  
Mohd Faizal Abdul Rahman ◽  
Samsiah Samsusah ◽  
Jeremy Ryan De Silva ◽  
David Chun-Ern Ng ◽  
...  

Abstract Five children in Pos Lenjang, Pahang, Malaysia were PCR-positive for vivax malaria and were admitted to the hospital from 5 to 26 July 2019. One of the patients experienced three episodes of recurrence of vivax malaria. Microsatellite analysis showed that reinfection is unlikely. Drug resistance analysis indicated that Riamet (artemether–lumefantrine) is effective. Cytochrome P450 2D6 (CYP2D6) testing showed that this patient has defective CYP2D6 function. Primaquine failure to clear the Plasmodium vivax hypnozoites may be the cause of recurring infections in this patient. This report highlights the need for the development of liver-stage curative antimalarials that do not require metabolism by the CYP2D6 enzyme.


ChemMedChem ◽  
2010 ◽  
Vol 5 (12) ◽  
pp. 2088-2101 ◽  
Author(s):  
Gianluca Rossato ◽  
Beat Ernst ◽  
Martin Smiesko ◽  
Morena Spreafico ◽  
Angelo Vedani

2017 ◽  
Vol 14 (3) ◽  
pp. 649-657 ◽  
Author(s):  
Jie Gao ◽  
Xin Tian ◽  
Jun Zhou ◽  
Ming-Zhu Cui ◽  
Hai-Feng Zhang ◽  
...  

2005 ◽  
Vol 15 (10) ◽  
pp. 2647-2652 ◽  
Author(s):  
Bertrand Le Bourdonnec ◽  
Christopher W. Ajello ◽  
Pamela R. Seida ◽  
Roberta G. Susnow ◽  
Joel A. Cassel ◽  
...  

2012 ◽  
Vol 20 (6) ◽  
pp. 2042-2053 ◽  
Author(s):  
Svava Ósk Jónsdóttir ◽  
Tine Ringsted ◽  
Nikolai G. Nikolov ◽  
Marianne Dybdahl ◽  
Eva Bay Wedebye ◽  
...  

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