The effect of intramuscular loading dose of quinine on Myanmar patients (children and adults) with falciparum malaria
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1994-08-01
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The effect of three doses of intramuscular quinine followed by oral quinine on ten adults and ten children with falciparum malaria (half of each group were highly parasitised) were studied. There were no complications associated with this method of therapy. the level of serum quinine in all the adults reached above the minimal inhibitory concentration (MIC) from the 2nd hour of the drug administration. So this method of administration should be recommended for severely ill patients before referral to hospitals. Anong the children, eight responded well to the therapy and the serum quinine level rose above MIC level from the second hour as in adults. There were two patients who failed to respone to the treatment. One had persistantly high level of quinine and was misdiagnosed as a case of cerebral malaria instead of quinine toxicity. He responded well when quinine was omitted and replaced with mefloquine. Another child had persistantly low level of quinine. He developed cerebral sings and symptoms and also responded well to mefloquine. Thus it is suggested that the level of serum quinine should be monitroed in children if possible, or toxicity ot quinine should be watched.
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Thein Thein Myint, Cho Cho Myint, Tin Shwe, Pe Than Myint, Min Thwe, Khin Shein, Aung Myint, Kyin Htwe. The effect of intramuscular loading dose of quinine on Myanmar patients (children and adults) with falciparum malaria. Myanmar Health Sciences Research Journal. 1994; 6(2): 78-81