Plasmodium vivax congenital malaria in a newborn of a Zairian immigrant

Plasmodium vivax congenital malaria in a newborn of a Zairian immigrant
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DOI:
10.1080/02724936.1998.11747924
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发表时间:
1998-03-01
影响因子:
--
通讯作者:
Scaglia, M
Scaglia, M
中科院分区:
其他
文献类型:
--
作者:
Comellini, L;Tozzola, A;Scaglia, M

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我们报告一例先天性疟疾的新生儿,其母亲是扎伊尔本地人,现居住在意大利。婴儿在出生后第3周出现了张张热。贫血和肝脾肿大。在血涂片中发现的疟疾寄生虫,最初被错误地诊断为恶性疟原虫,后来被确认为间日疟原虫。根据第一次诊断,成功地进行了盐酸奎宁治疗,没有明显的副作用。在分娩一周内发热的母亲的血涂片中也发现了间日疟原虫寄生虫。这份报告表明,有症状的先天性疟疾可能比一般认为的更常见,在非疟疾流行国家,在疟疾流行地区旅行或移民的母亲所生的发热新生儿中应予以怀疑。
We report a case of congenital malaria in a newborn whose mother is a native of Zaire now living in Italy. The baby developed remittent fever in the 3rd week of life with. anaemia and hepatosplenomegaly. Malaria parasites found in blood smears and erroneously diagnosed initially as Plasmodium falciparum were subsequently recognized as Plasmodium vivax. On the basis of the first diagnosis, treatment with quinine chlorhydrate was successfully undertaken without significant side-effects. P. vivax parasites were also recovered a posteriori in blood smears of the mother who was febrile during the week of her delivery. This report suggests that symptomatic congenital malaria may be more common than is generally thought and should be suspected in non-malarious countries in febrile newborns born to mothers who have travelled in or immigrated from malaria-endemic areas.