title: Development of resistance to chloroquine by Plasmodium vivax in Myanmar.
abstract: Fifty patients with Plasmodium vivax infection were treated with the standard regimen of chloroquine phosphate (1500 mg over 3 d) followed by primaquine (45 mg immediately and then weekly for 8 weeks); 43 patients had sensitive infections but recrudescences of parasitaemia occurred between days 3 and 14 with RI, RII and RIII patterns in one, 3 and 3 patients, respectively. All the chloroquine-resistant cases were again treated with chloroquine (1500 mg) and no further recrudescence or relapse was detected on days 21 and 28. This study indicates that chloroquine is losing its efficacy against P. vivax in Myanmar.
authors.affiliation: Clinical Malaria Research Unit, Defence Services General Hospital, Mingaladon, Myanmar.
authors.lastname: Marlar-Than
authors.lastname: Myat-Phone-Kyaw
authors.lastname: Aye-Yu-Soe
authors.lastname: Khaing-Khaing-Gyi
authors.lastname: Ma-Sabai
authors.lastname: Myint-Oo
mesh_terms: D000293:Adolescent; D000328:Adult; D000818:Animals; D002738:Chloroquine / Q000627:therapeutic use*; D004351:Drug Resistance; D004359:Drug Therapy, Combination; D006801:Humans; D016780:Malaria, Vivax / Q000188:drug therapy*; D002052:Myanmar; D010966:Plasmodium vivax / Q000187:drug effects*; D011319:Primaquine / Q000627:therapeutic use*
chemical_list: D002738:Chloroquine; D011319:Primaquine