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葡萄糖-6-磷酸脱氢酶状态与接受单剂量伯氨喹的恶性疟原虫感染非洲儿童溶血风险

Glucose-6-phosphate dehydrogenase status and risk of hemolysis in Plasmodium falciparum-infected African children receiving single-dose primaquine.

作者信息

Eziefula Alice C, Pett Helmi, Grignard Lynn, Opus Salome, Kiggundu Moses, Kamya Moses R, Yeung Shunmay, Staedke Sarah G, Bousema Teun, Drakeley Chris

机构信息

Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom.

Department of Medical Microbiology, Radboud University Medical Center, Nijmegen, The Netherlands.

出版信息

Antimicrob Agents Chemother. 2014 Aug;58(8):4971-3. doi: 10.1128/AAC.02889-14. Epub 2014 Jun 9.

Abstract

Glucose-6-phosphate dehydrogenase (G6PD) enzyme function and genotype were determined in Ugandan children with uncomplicated falciparum malaria enrolled in a primaquine trial after exclusion of severe G6PD deficiency by fluorescent spot test. G6PD A- heterozygotes and hemizygotes/homozygotes experienced dose-dependent lower hemoglobin concentrations after treatment. No severe anemia was observed.

摘要

在一项伯氨喹试验中,对乌干达患有单纯性恶性疟原虫疟疾的儿童进行了葡萄糖-6-磷酸脱氢酶(G6PD)酶功能和基因型测定,这些儿童在通过荧光斑点试验排除严重G6PD缺乏症后入选。G6PD A-杂合子以及半合子/纯合子在治疗后血红蛋白浓度出现剂量依赖性降低。未观察到严重贫血。

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