Antimalarial Drugs

Mother Nature gave us the cinchona alkaloids and qinghaosu. World War II led to the introduction of chloroquine, chloroguanide (proguanil), and eventually amodiaquine and pyrimethamine. The war in Vietnam brought mefloquine and halofantrine. These drugs are all we have available now to treat malaria. It is difficult to see where…

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Other Tests

Non-Microscopic Tests Several attempts have been made to take the malaria diagnosis out of the realm of the microscope and the microscopist. Important advances have been made in diagnostic testing, including fluorescence microscopy of parasite nuclei stained with acridine orange, rapid dipstick immunoassay, and Polymerase Chain Reaction assays.[1] These tests…

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Rapid Diagnosis of Malaria

See Kakkilaya BS. Rapid Diagnosis of Malaria. Lab Medicine. 2003 Aug;8(34):602-608 [See] Although the peripheral blood smear examination that provides the most comprehensive information on a single test format has been the “gold standard” for the diagnosis of malaria, the immunochromatographic tests for the detection of malaria antigens, developed in…

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Microscopic Tests

Diagnosis of malaria involves identification of malaria parasite or its antigens/products in the blood of the patient. Although this seems simple, the efficacy of the diagnosis is subject to many factors. The different forms of the four malaria species; the different stages of erythrocytic schizogony; the endemicity of different species;…

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