Article: Availability of parenteral quinidine gluconate for treatment of severe or complicated malaria. (delay in getting quinidine gluconate to treat two malaria patients is believed to have been a factor in their deaths)(Brief Article)

CDC has received reports of two fatal cases of Plasmodium falciparum malaria in the United States in which a delay in obtaining quinidine gluconate for intravenous therapy was thought to have played a role in the patients' deaths. Since 1991, quinidine gluconate, a well-known and widely used class la anti-arrhythmic agent, has been the only parenteral antimalarial drug available in the United States. It is the drug of choice for treating serious and life-threatening malaria infections and is active against drug-resistant strains of P. falciparum. intravenous quinidine is indicated whenever oral therapy is not possible, in high-density infections (>5% of red blood cells ...

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