Evidence map›Paper›PMID 27809844›Full record

ArticleMalaria journal2016

Failure of dihydroartemisinin-piperaquine treatment of uncomplicated Plasmodium falciparum malaria in a traveller coming from Ethiopia.

Federico Gobbi, Dora Buonfrate, Michela Menegon, Gianluigi Lunardi, Andrea Angheben, Carlo Severini, Stefania Gori, Zeno Bisoffi

Abstract readCase Reports
In one paragraph

Article in Malaria journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Review
  5. Prevalence of Mutations in thePharmaceutics · 2021
    Article
  6. Article
  7. BaselineAntimicrobial agents and chemotherapy · 2019
    Article
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Federico GobbiCentre for Tropical Diseases, Hospital Sacro Cuore-Don Calabria, Via Sempreboni 5, Negrar, 37024, Verona, Italy. federico.gobbi@sacrocuore.it.
Dora BuonfrateCentre for Tropical Diseases, Hospital Sacro Cuore-Don Calabria, Via Sempreboni 5, Negrar, 37024, Verona, Italy.
Michela MenegonDepartment of Infectious, Parasitic and Immunomediated Diseases (MIPI), Istituto Superiore di Sanità, Viale Regina Elena, 299, 00161, Rome, Italy.
Gianluigi LunardiCentre for Tropical Diseases, Hospital Sacro Cuore-Don Calabria, Via Sempreboni 5, Negrar, 37024, Verona, Italy.
Andrea AnghebenCentre for Tropical Diseases, Hospital Sacro Cuore-Don Calabria, Via Sempreboni 5, Negrar, 37024, Verona, Italy.
Carlo SeveriniDepartment of Infectious, Parasitic and Immunomediated Diseases (MIPI), Istituto Superiore di Sanità, Viale Regina Elena, 299, 00161, Rome, Italy.
Stefania GoriCentre for Tropical Diseases, Hospital Sacro Cuore-Don Calabria, Via Sempreboni 5, Negrar, 37024, Verona, Italy.
Zeno BisoffiCentre for Tropical Diseases, Hospital Sacro Cuore-Don Calabria, Via Sempreboni 5, Negrar, 37024, Verona, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundArtemisinin combination therapy (ACT) is used worldwide as the first-line treatment against uncomplicated Plasmodium falciparum malaria. Despite the success of ACT in reducing the global burden of malaria, the emerging of resistance to artemisinin threatens its use. CASE REPORT: This report describes the first case of failure of dihydroartemisinin-piperaquine (DHA-PPQ) for the treatment of P. falciparum malaria diagnosed in Europe. It occurred in an Italian tourist returned from Ethiopia. She completely recovered after the DHA-PPQ treatment but 32 days after the end of therapy she had a recrudescence. The retrospective analysis indicated a correct DHA-PPQ absorption and genotyping demonstrated that the same P. falciparum strain was responsible for the both episodes.

conclusionIn consideration of the growing number of cases of resistance to ACT, it is important to consider a possible recrudescence, that can manifest also several weeks after treatment.

Indexed as

AdultAntimalarialsArtemisininsEthiopiaFranceHumansMalaria, FalciparumMilitary PersonnelOverweightPiperazinesQuinolinesTreatment FailureAntimalarialsArtemisininsartenimolpiperaquinePiperazinesQuinolinesDihydroartemisinin-piperaquine (DHA-PPQ)FailurePlasmodium falciparumRecrudescence

Identifiers

PMID27809844
PMCPMC5094029

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.