Abstract
We present three cases of unusual and complicated malaria caused by Plasmodium vivax. Parenteral artemisinin derivatives or quinine should be used, irrespective of chloroquine sensitivity, for treatment of severe malaria.
MeSH terms
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Adult
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Animals
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Antimalarials / pharmacology
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Antimalarials / therapeutic use*
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Artemisinins / therapeutic use
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Artesunate
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Chloroquine / therapeutic use
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Female
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Humans
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Malaria, Vivax / complications*
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Malaria, Vivax / drug therapy
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Malaria, Vivax / parasitology
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Male
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Middle Aged
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Plasmodium vivax / drug effects
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Plasmodium vivax / isolation & purification
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Plasmodium vivax / pathogenicity*
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Primaquine / therapeutic use
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Respiratory Distress Syndrome / etiology*
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Respiratory Distress Syndrome / parasitology
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Shock / drug therapy
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Shock / etiology*
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Shock / parasitology
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Splenic Infarction / drug therapy
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Splenic Infarction / etiology*
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Splenic Infarction / parasitology
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Treatment Outcome
Substances
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Antimalarials
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Artemisinins
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Artesunate
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Chloroquine
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Primaquine