1921
image of Case Report: A Case of Primaquine-Induced Hemoglobinuria in Glucose-6-Phosphate Dehydrogenase–Deficient Malaria Patient in Southeastern Bangladesh
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645
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Abstract

We herein report the first case of Mediterranean glucose-6-phosphate dehydrogenase (G6PD) variant from Bangladesh. A boy had been admitted to hospital and was diagnosed with uncomplicated infection and treated with 30 mg/kg body weight (BW) chloroquine for 3 days and 4.8 mg/kg BW primaquine (PQ) to be taken over 14 days. The boy was discharged but represented 4 days later with severe hemoglobinuria and fatigue. Hemoglobin was measured at 6.0 g/dL and serum bilirubin was at 5.6 mg/dL, although malaria microscopy was negative. The boy had taken the 4-fold recommended daily dose of PQ and was treated with two fresh blood transfusions. Subsequent molecular analysis showed the boy to have the Mediterranean G6PD variant and a G6PD activity of 0.93 U/gHb.

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/content/journals/10.4269/ajtmh.19-0643
2019-11-04
2019-11-21
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http://instance.metastore.ingenta.com/content/journals/10.4269/ajtmh.19-0643
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  • Received : 29 Aug 2019
  • Accepted : 23 Sep 2019
  • Published online : 04 Nov 2019
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