Sophie Landre, Anne-Lise Bienvenu, Patrick Miailhes, Paul Abraham, Marie Simon, Agathe Becker, Anne Conrad, Guillaume Bonnot, Yobouet Ines Kouakou, Christian Chidiac, Gilles Leboucher, Thomas Rimmelé, Laurent Argaud, Stephane Picot
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Recrudescence of a high parasitaemia, severe Plasmodium falciparum malaria episode, treated by artesunate monotherapy.
A patient presenting with severe malaria, with hyperparasitaemia, received 7-day artesunate monotherapy. A severe recrudescence was detected and attributed to hyperparasitaemia, monotherapy and a polyclonal infection without Kelch 13 gene mutation. A second treatment with artesunate, then quinine, followed by artemether-lumefantrine, was successful.
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