Co-occurrence of pfkelch13 and pfmdr1 variants in a recurrent Plasmodium falciparum infection following standard artemether-lumefantrine treatment
We report recurrent Plasmodium falciparum infection following standard artemether-lumefantrine treatment in a patient with metabolic comorbidities carrying mutant parasites presenting pfkelch13 and pfmdr1 variants, underscoring the need for genomic surveillance of antimalarial resistance and further investigation of host factors that may influence antimalarial drug exposure.
Authors
- Márcia Melo Medeiros (ORCID: https://orcid.org/0000-0002-5364-9087)
- Joana Laranjinha (ORCID: https://orcid.org/0000-0001-9733-0724)
- Ana Paula Arez (ORCID: https://orcid.org/0000-0002-0497-6532)
- Inês Lopes (ORCID: https://orcid.org/0000-0001-7205-0208)
- Pedro Vitor Cravo
- Raquel Azevedo
- Ana Cláudia Carvalho
- Ana M. Costa
- Andréa Luciana S. da Silva
- Sara B. Lopes
Institutions
- Instituto de Medicina Tropical (PY)
- Hospital Braga (PT)
- Unidade Hospitalar de Bragança (PT)
- Universidade Federal do Pará (BR)
- University of Coimbra (PT)
Publication Details
- Journal
- International Journal of Infectious Diseases
- Published
- 2026-09-01
- DOI
- https://doi.org/10.1016/j.ijid.2026.109078
- Primary Topic
- Malaria Research and Control
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Fundação para a Ciência e a Tecnologia
- Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa