A report on Antimalarial medication and Plasmodium vivax

Quinine is an alkaloid that acts as a blood schizonticidal and weak gametocide against Plasmodium vivax and Plasmodium malariae.

- Antimalarial medication

Where an artemisinin-based combination therapy has been adopted as the first-line treatment for P. falciparum malaria, it may also be used for P. vivax malaria in combination with primaquine for radical cure.

- Plasmodium vivax

7 related topics with Alpha

Malaria

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Mosquito-borne infectious disease that affects humans and other animals.

The life cycle of malaria parasites. Sporozoites are introduced by a mosquito bite. They migrate to the liver, where they multiply into thousands of merozoites. The merozoites infect red blood cells and replicate, infecting more and more red blood cells. Some parasites form gametocytes, which are taken up by a mosquito, continuing the life cycle.

Micrograph of a placenta from a stillbirth due to maternal malaria. H&E stain. Red blood cells are anuclear; blue/black staining in bright red structures (red blood cells) indicate foreign nuclei from the parasites.

Electron micrograph of a Plasmodium falciparum-infected red blood cell (center), illustrating adhesion protein "knobs"

The blood film is the gold standard for malaria diagnosis.

Ring-forms and gametocytes of Plasmodium falciparum in human blood

An Anopheles stephensi mosquito shortly after obtaining blood from a human (the droplet of blood is expelled as a surplus). This mosquito is a vector of malaria, and mosquito control is an effective way of reducing its incidence.

Man spraying kerosene oil in standing water, Panama Canal Zone, 1912

Walls where indoor residual spraying of DDT has been applied. The mosquitoes remain on the wall until they fall down dead on the floor.

An advertisement for quinine as a malaria treatment from 1927.

Deaths due to malaria per million persons in 2012

Past and current malaria prevalence in 2009

Ancient malaria oocysts preserved in Dominican amber

British doctor Ronald Ross received the Nobel Prize for Physiology or Medicine in 1902 for his work on malaria.

Chinese medical researcher Tu Youyou received the Nobel Prize for Physiology or Medicine in 2015 for her work on the antimalarial drug artemisinin.

Artemisia annua, source of the antimalarial drug artemisinin

U.S. Marines with malaria in a field hospital on Guadalcanal, October 1942

Members of the Malaria Commission of the League of Nations collecting larvae on the Danube delta, 1929

1962 Pakistani postage stamp promoting malaria eradication program

Disability-adjusted life year for malaria per 100,000 inhabitants in 2004
no data
<10
0–100
100–500
500–1000
1000–1500
1500–2000
2000–2500
2500–2750
2750–3000
3000–3250
3250–3500
≥3500

Most deaths are caused by P. falciparum, whereas P. vivax, P. ovale, and P. malariae generally cause a milder form of malaria.

The recommended treatment for malaria is a combination of antimalarial medications that includes artemisinin.

Chloroquine

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Medication primarily used to prevent and treat malaria in areas where malaria remains sensitive to its effects.

Hemozoin formation in P. falciparum: many antimalarials are strong inhibitors of hemozoin crystal growth.

]]Chloroquine has been used in the treatment and prevention of malaria from Plasmodium vivax, ''[[Plasmodium ovale|P.

In areas where resistance is present, other antimalarials, such as mefloquine or atovaquone, may be used instead.

Plasmodium falciparum

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Unicellular protozoan parasite of humans, and the deadliest species of Plasmodium that causes malaria in humans.

Laveran's drawing of various stages of P. falciparum as seen on fresh blood (1880).

Blood smear from a P. falciparum culture (K1 strain - asexual forms) - several red blood cells have ring stages inside them. Close to the center is a schizont and on the left a trophozoite.

Ring forms in red blood cells (Giemsa stain)

In 1900, the Italian zoologist Giovanni Battista Grassi categorized Plasmodium species based on the timing of fever in the patient; malignant tertian malaria was caused by Laverania malariae (now P. falciparum), benign tertian malaria by Haemamoeba vivax (now P. vivax), and quartan malaria by Haemamoeba malariae (now P. malariae).

According to WHO guidelines 2010, artemisinin-based combination therapies (ACTs) are the recommended first-line antimalarial treatments for uncomplicated malaria caused by P. falciparum.

Plasmodium

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Genus of unicellular eukaryotes that are obligate parasites of vertebrates and insects.

Plasmodium is a eukaryote but with unusual features.

Life cycle of a species that infects humans

Ring forms of Plasmodium inside human red blood cells (Giemsa stain)

Sporozoites, one of several different forms of the parasite, from a mosquito

Oldest mosquito fossil with Plasmodium dominicana, 15-20 million year old

Many birds, from raptors to passerines like the red-whiskered bulbul (Pycnonotus jocosus), can carry malaria.

A clinic for treating human malaria in Tanzania

Over 3000 species of lizard, including the Carolina anole (Anolis carolinensis), carry some 90 kinds of malaria.

The mosquito Anopheles stephensi is among the blood-feeding insects that can be infected by a species of Plasmodium.

Over the course of the 20th century, many other species were discovered in various hosts and classified, including five species that regularly infect humans: P. vivax, P. falciparum, P. malariae, P. ovale, and P. knowlesi.

A number of drugs have been developed to treat Plasmodium infection; however, the parasites have evolved resistance to each drug developed.

Mefloquine

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Medication used to prevent or treat malaria.

Mefloquine is used as a treatment for chloroquine-sensitive or resistant Plasmodium falciparum malaria, and is deemed a reasonable alternative for uncomplicated chloroquine-resistant Plasmodium vivax malaria.

It is not recommended for severe malaria infections, particularly infections from P. falciparum, which should be treated with intravenous antimalarials.

Sulfadoxine/pyrimethamine

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Combination medication used to treat malaria.

For the treatment of malaria it is typically used along with other antimalarial medication such as artesunate.

The combination is considered to be more effective in treating malaria caused by Plasmodium falciparum than that caused by P. vivax, for which chloroquine is considered more effective, though in the absence of a species-specific diagnosis, the sulfadoxine-pyrimethamine combination may be indicated.

Artesunate

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Medication used to treat malaria.

Often it is used as part of combination therapy, such as artesunate plus mefloquine.

Artesunate + sulfadoxine/pyrimethamine for treatment of P. vivax is not recommended due to high rates of resistance.