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      Malaria congénita: A propósito de un caso Translated title: Congenital malaria: Case report


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          La malaria congénita es una patología relativamente rara en el contexto de las patologías neonatales. El presente caso se trata de un recién nacido masculino de 24 días de vida con malaria congénita por Plasmodium vivax y falciparum cuyo diagnóstico se observó a través del estudio de la gota gruesa. El recién nacido es procedente de una zona poco endémica, pero la madre viajó por compromiso laborales en varias ocasiones a una zona endémica en el Estado Bolívar. La madre presentó malaria gestacional a partir del I trimestre de gestación con tratamiento irregular. Las manifestaciones clínicas del recién nacido fueron fiebre de 40°c y el tratamiento antimalárico fue con Artesunate 60 mg con adecuada respuesta clínica, confirmada mediante la negativización de la gota gruesa al finalizar el tratamiento. Es importante considerar el diagnóstico diferencial con el de sepsis neonatal sobre todo en pacientes procedentes de zonas de riesgo y endémicas. La malaria congénita es real y por lo tanto se recomienda que los recién nacidos de madres con malaria deben ser examinados inmediatamente.

          Translated abstract

          Congenital malaria is a relatively rare disease in the context of neonatal pathologies. We present a case of a 24 day old newborn male with congenital malaria by Plasmodium vivax and falciparum whose diagnosis was performed through the study of thick film. The newborn comes from a non- endemic area were as the mother because of worktravelled to an endemic area of our country in Bolivar state. The mother had a maternal history of seasonal malaria during the I trimester of gestation with irregular treatment. The clinical manifestation of the newborn was fever 40 °c and the antimalarial treatment was performed with Artesunate at 60 mg with adequate clinical response, confirmed by the thick film negativization at the end of the treatment. It is important to consider the differential diagnosis with neonatal sepsis especially in patients from endemic areas and risk. Congenital malaria is real and therefore it is recommended that newborns of mothers with malaria should be examined immediately.

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          Most cited references16

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          Congenital malaria in newborn twins.

          D Opare (2010)
          Malaria during first few months of life may be due to transplacental transfer of parasitized maternal erythrocytes. The most common clinical features of congenital malaria are fever, anaemia and splenomegaly. Other signs and symptoms include hepatosplenomegaly, jaundice, regurgitation, loose stools, and poor feeding. A 28 year old woman (G2P1A), with 36 weeks gestation, reported to a health facility in Sunyani on 22(nd) February 2009 with history of labour pains, without fever. According to the mother, even though she did not sleep in insecticide treated bed net during her pregnancy, she took all the recommended drugs of sulfadoxine/ pyrimethamine-intermittent preventive treatment for malaria. She delivered twins on the same day. The mother and the twins developed fever on the same day. A laboratory investigation on the three of them was positive for malaria parasites. The three were successfully treated with quinine. Congenital malaria is real and it is therefore recommended that babies born to mothers with malaria should be screened for congenital malaria.
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            Guía para la atención clínica integral del paciente con malaria

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              Congenital malaria due to Plasmodium vivax: a case report from Sri Lanka.


                Author and article information

                Role: ND
                Role: ND
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                Role: ND
                Archivos Venezolanos de Puericultura y Pediatría
                Arch Venez Puer Ped
                Sociedad Venezolana de Puericultura y Pediatría
                June 2016
                : 79
                : 2
                : 74-76
                [1 ] Ciudad Hospitalaria Dr. Enrique Tejera



                SciELO Venezuela

                Self URI (journal page): http://www.scielo.org.ve/scielo.php?script=sci_serial&pid=0004-0649&lng=en
                HEALTH POLICY & SERVICES

                Pediatrics,Health & Social care,Public health
                malaria,newborn,vivax and falciparum Plasmodium,thick film,recién nacido,Plasmodium vivax y falciparum,gota gruesa


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