Nyangulu Wongani Js, Mwinjiwa Edson, Divala Titus H, Mungwira Randy G, Nyirenda Osward, Kanjala Maxwell, Mbambo Gillian, Mallewa Jane, Taylor Terrie E, Laurens Matthew B, Laufer Miriam K, van Oosterhout Joep J
Dignitas International, Zomba, Malawi.
Blantyre Malaria Project, College of Medicine, University of Malawi, Blantyre, Malawi.
Malawi Med J. 2017 Mar;29(1):57-60. doi: 10.4314/mmj.v29i1.12.
We describe two Malawian adults on successful antiretroviral therapy who experienced frequent malaria episodes after stopping cotrimoxazole prophylaxis. We argue that, in addition to stopping cotrimoxazole, diminished malaria immunity and drug interactions between efavirenz and artemether-lumefantrine may have played a causative role in the recurrent malaria our patients experienced.
我们描述了两名接受抗逆转录病毒疗法治疗成功的马拉维成年人,他们在停止复方新诺明预防用药后频繁出现疟疾发作。我们认为,除了停止使用复方新诺明外,疟疾免疫力下降以及依非韦伦与蒿甲醚-本芴醇之间的药物相互作用可能在我们的患者所经历的复发性疟疾中起到了致病作用。