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Editor's Correspondence |

Quinidine and Malaria

Helmut Albrecht, MD; Jeffrey Lennox, MD; Carlos del Rio, MD
Arch Intern Med. 2001;161(8):1118-1119. doi:.
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The recent article by Dorsey et al1 highlights some of the difficulties in the prevention, diagnosis, and treatment of malaria in the United States. However, it fails to mention the critical importance of having intravenous (IV) quinidine available for the management of life-threatening chloroquine-resistant Plasmodium falciparum infection. The following case presentation underscores this problem.

Dorsey  GGandhi  MOyugi  JHRosenthal  PJ Difficulties in the prevention, diagnosis, and treatment of malaria. Arch Intern Med. 2000;1602505- 2510
Centers for Disease Control and Prevention, Malaria in an immigrant and travelers: Georgia, Vermont, and Tennessee, 1996. MMWR Morb Mortal Wkly Rep. 1997;46536- 539
Looareesuwan  SPhillips  REWhite  NJ  et al.  Quinine in severe falciparum malaria in late pregnancy. Lancet. 1985;24- 8
Grace  AACamm  AJ Quinidine. N Engl J Med. 1998;33835- 45

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