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3.
Am J Trop Med Hyg ; 91(4): 821-823, 2014 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-25071004

RESUMEN

Cases of delayed hemolytic anemia have been described after treatment with injectable artesunate, the current World Health Organization (WHO)-recommended first-line drug for the treatment of severe malaria. A total of 350 patients (215 [61.4%] < 5 years of age and 135 [38.6%] ≥ 5 years of age) were followed-up after treatment with injectable artesunate for severe malaria in hospitals and health centers of the Democratic Republic of the Congo. Complete series of hemoglobin (Hb) measurements were available for 201 patients. A decrease in Hb levels between 2 and 5 g/dL was detected in 23 (11.4%) patients during the follow-up period. For five patients, Hb levels decreased below 5 g/dL during at least one follow-up visit. All cases of delayed anemia were clinically manageable and resolved within one month.


Asunto(s)
Anemia Hemolítica/inducido químicamente , Antimaláricos/efectos adversos , Artemisininas/efectos adversos , Malaria Falciparum/tratamiento farmacológico , Plasmodium falciparum/aislamiento & purificación , Anemia Hemolítica/mortalidad , Antimaláricos/administración & dosificación , Artemisininas/administración & dosificación , Artesunato , Niño , Preescolar , República Democrática del Congo , Estudios de Seguimiento , Hemoglobinas/análisis , Humanos , Lactante , Inyecciones Intravenosas , Malaria Falciparum/parasitología , Factores de Tiempo
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