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Am J Trop Med Hyg ; 91(4): 821-823, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25071004

RESUMO

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.


Assuntos
Anemia Hemolítica/induzido quimicamente , Antimaláricos/efeitos adversos , Artemisininas/efeitos adversos , Malária Falciparum/tratamento farmacológico , Plasmodium falciparum/isolamento & purificação , Anemia Hemolítica/mortalidade , Antimaláricos/administração & dosagem , Artemisininas/administração & dosagem , Artesunato , Criança , Pré-Escolar , República Democrática do Congo , Seguimentos , Hemoglobinas/análise , Humanos , Lactente , Injeções Intravenosas , Malária Falciparum/parasitologia , Fatores de Tempo
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