From: The hyper-reactive malarial splenomegaly: a systematic review of the literature
Study | Country | N patients | Type of treatment | Duration | Follow up | Outcome |
---|---|---|---|---|---|---|
Pryor 1967 [49] | New Guinea | 99 | CLQ 1500Â mg/3Â days, then 300Â mg/wk | NR | average 4.1 mths in hospital plus 6-23 mths out | No change in spleen size, general benefit |
Sagoe 1970 [57] | Nigeria | 43 | PG 100 mg/day | ≥6 mths | 6 mths | 32 improved 11 worsened |
Bagshawe 1970 [13] | Kenya | 28 | PG 100Â mg/day | 1 - 26 mths | 1 -6 mths | 16 improved 11 worsened 8 unchanged |
Stuvier et al. 1971 [27] | India | 14 | PQ 15 days, then CLQ 300 mg/wk | 6-14 mths | once/mths for ≥6 mths | 11/14 spleen size ↓50% |
Stuvier et al. 1974 [71] | Uganda | 41 | CLQ 300Â mg/wk or PG 100Â mg/day | NR | 4- 20 mths | all improved |
Bryceson et al. 1976 [60] | North Nigeria | 30 | PG 100Â mg/day | 3 - 12 mths | 3 mths | 12/13 improved (17 lost) |
Fakunle and Greenwood 1980 [64] | Nigeria | 69 | PG 100Â mg/day | 3 mths | 10 wks | 2 /40 died plus 8/29 defaulters |
De Cock et al. 1986 [52] | Kenya | 38 | PG 100Â mg/day or CLQ 300Â mg/wk | NR | NR | 13/18 improved (20 lost) |
Crane 1986 [2] | Papua NG | 148 | CLQ 300Â mg/wk | lifelong | 12-18 mths | 146 improved (2 lost) |
Gupta et al. 1987 [31] | India | 54 | CLQ 300Â mg, 1 or 2/wk | 2Â yrs | 2Â yrs | 54 Improved |
Mac Onuigbo and Mbah 1992 [76] | Nigeria | 39 | PG 100 or 200Â mg | 2 - 12 mths | 2 - 12 mths | All improved (10 cured) |
Manenti et al. 1994 [79] | Tanzania | 312 | PMT 25Â mg/wk | 1 mths | 3 mths | 208 improved 104 unchanged |
A-Elgayoum et al. 2011 [18] | Sudan | 54 | Single short term treatment (various regimens) | 1 d to 1 wk (often repeated) | 15 –24 mths | 36 improved 12 worsened 6 unchanged |
Alkadarow et al. 2013 [69] | Sudan | 33 | CLQ 300Â mg/wk | 3 mths | 3 mths | 14/21 improved (12 lost) |