Chloroquine resistant vivax malaria in a pregnant woman on the western border of Thailand.
Rijken MJ., Boel ME., Russell B., Imwong M., Leimanis ML., Phyo AP., Muehlenbachs A., Lindegardh N., McGready R., Rénia L., Snounou G., Singhasivanon P., Nosten F.
Chloroquine (CQ) resistant vivax malaria is spreading. In this case, Plasmodium vivax infections during pregnancy and in the postpartum period were not satisfactorily cleared by CQ, despite adequate drug concentrations. A growth restricted infant was delivered. Poor susceptibility to CQ was confirmed in-vitro and molecular genotyping was strongly suggestive of true recrudescence of P. vivax. This is the first clinically and laboratory confirmed case of two high-grade CQ resistant vivax parasite strains from Thailand.