Diagnostic and therapeutic pitfalls associated with primaquine-tolerant Plasmodium vivax |
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| Authors: | Spudick Jeanne M Garcia Lynne S Graham David M Haake David A |
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| Institution: | Veterans Affairs Greater Los Angeles Healthcare System, David Geffen School of Medicine at UCLA, Los Angeles, USA. |
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| Abstract: | We describe a U.S. Army Ranger returning from duty in Afghanistan and Iraq with life-threatening infection due to Plasmodium vivax. Morphological variants were observed in blood films prepared using samples collected by venipuncture. The patient's multiple relapses indicate infection with primaquine-tolerant P. vivax. Strategies for relapse prevention using primaquine are reviewed. |
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