Article
Mutations in Plasmodium falciparum dihydrofolate reductase and dihydropteroate synthase of isolates from the Amazon region of Brazil.
Memorias do Instituto Oswaldo Cruz - 1 Jan 2000
Vasconcelos K F, Plowe C V, Fontes C J, Kyle D, Wirth D F, Pereira da Silva L H, Zalis M G
Abstract excerpt
Since the late 1970s pyrimethamine-sulfadoxine (PS; FansidarTM Hoffman-LaRoche, Basel) has been used as first line therapy for uncomplicated malaria in the Amazon basin. Unfortunately, resistance has developed over the last ten years in many regions of the Amazon and PS is no longer recommended for use in Brazil. In vitro resistance to pyrimethamine and cycloguanil (the active metabolite of proguanil) is caused...
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