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Correspondence
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Volume 329:1206 October 14, 1993 Number 16
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Failure of Mefloquine Chemoprophylaxis for Malaria in Somalia

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To the Editor: A weekly dose of 250 mg of mefloquine (Lariam) is being used by U.S. forces for chemoprophylaxis against malaria in Somalia. We report two cases of malaria caused by Plasmodium falciparum in U.S. soldiers who were taking mefloquine.

A 23-year-old man was admitted on March 3, 1993, with a seven-day history of fever, chills, and headache. A blood smear showed P. falciparum. The serum mefloquine level in blood drawn when the patient's smear was positive was 1067 ng per milliliter for the parent compound and 4014 ng per milliliter for the primary metabolite. He had been taking . . . [Full Text of this Article]

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