Gestational malaria associated to Plasmodium vivax and Plasmodium falciparum placental mixed-infection followed by foetal loss: a case report from an ... View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2011-12

AUTHORS

Bruna O Carvalho, Joycenéa S Matsuda, Sergio LB Luz, Flor E Martinez-Espinosa, Juliana A Leite, Fernanda Franzin, Patrícia P Orlandi, Gustavo B Gregoracci, Marcus VG Lacerda, Paulo A Nogueira, Fabio TM Costa

ABSTRACT

Gestational malaria is a multi-factorial syndrome leading to poor outcomes for both the mother and foetus. Although an unusual increasing in the number of hospitalizations caused by Plasmodium vivax has been reported in Brazil, mortality is rarely observed. This is a report of a gestational malaria case that occurred in the city of Manaus (Amazonas State, Brazil) and resulted in foetal loss. The patient presented placental mixed-infection by Plasmodium vivax and Plasmodium falciparum after diagnosis by nested-PCR, however microscopic analysis failed to detect P. falciparum in the peripheral blood. Furthermore, as the patient did not receive proper treatment for P. falciparum and hospitalization occurred soon after drug treatment, it seems that P. falciparum pathology was modulated by the concurrent presence of P. vivax. Collectively, this case confirms the tropism towards the placenta by both of these species of parasites, reinforces the notion that co-existence of distinct malaria parasites interferes on diseases' outcomes, and opens discussions regarding diagnostic methods, malaria treatment during pregnancy and prenatal care for women living in unstable transmission areas of malaria, such as the Brazilian Amazon. More... »

PAGES

178

References to SciGraph publications

  • 2002-06-28. Nested PCR Analysis of Plasmodium Parasites in MALARIA METHODS AND PROTOCOLS
  • 2010-12. Malaria in Brazil: an overview in MALARIA JOURNAL
  • 2002-08. Maternal malaria: Plasmodium falciparum sequestration in the placenta in PARASITOLOGY RESEARCH
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1186/1475-2875-10-178

    DOI

    http://dx.doi.org/10.1186/1475-2875-10-178

    DIMENSIONS

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    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/21708032


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