Clinical Spectrum of Primaquine-induced Hemolysis in Glucose-6-Phosphate Dehydrogenase Deficiency: A 9-Year Hospitalization-based Study From the Brazilian Amazon.

Brito-Sousa, Jose Diego; Santos, Thalie C; Avalos, Sara; Fontecha, Gustavo; Melo, Gisely C; Val, Fernando; Siqueira, André M; Alecrim, Graça C et al. · Clin Infect Dis · 2019

retrospective_cohort · Level III

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Abstract

Despite glucose-6-phosphate dehydrogenase (G6PD) deficiency prevalence of 5% in the Amazon, primaquine is administered without G6PD screening. This is an important cause of hospitalization among Plasmodium vivax-infected individuals, leading to life-threatening anemia and acute renal failure across endemic areas. In Manaus, the frequency of primaquine-induced hemolysis was 85.2 cases per 100 000 primaquine users.

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