Commentary
Polrat Wilairatana, Noppado
Abstract
Since most G6PD deficiency in Thailand is G6PD Viangchan (which is severe G6PD deficiency), vivax malaria patients coming to seek treatment should be screened for G6PD deficiency before primaquine is given. Primaquine is contraindicated in vivax malaria treatment with severe G6PD deficiency since primaquine may cause massive hemolysis and even death.