Severe malaria not responsive to artemisinin derivatives in man returning from Angola to Vietnam

Emerg Infect Dis. 2014 Jul;20(7):1199-202. doi: 10.3201/eid2007.140155.

Abstract

Resistance to artemisinin derivatives, the most potent antimalarial drugs currently used, has emerged in Southeast Asia and threatens to spread to Africa. We report a case of malaria in a man who returned to Vietnam after 3 years in Angola that did not respond to intravenous artesunate and clindamycin or an oral artemisinin-based combination.

Keywords: Angola; Plasmodium falciparum; Vietnam; artemisinins; cerebral malaria; drug resistance; malaria; parasites; severe malaria; travel medicine.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Angola
  • Antimalarials / therapeutic use*
  • Artemisinins / therapeutic use*
  • Clindamycin / therapeutic use
  • Drug Therapy, Combination
  • Humans
  • Malaria / drug therapy*
  • Male
  • Middle Aged
  • Vietnam

Substances

  • Antimalarials
  • Artemisinins
  • Clindamycin
  • artemisinin