Pyrexia in pregnancy: an atypical presentation

Prasad Yeshwant Deshmukh, Shaifali Kundan Patil, B. G. Boricha

Abstract


Every year approximately 50 million women living in malaria endemic areas become pregnant and are at high risk of adverse health impact of malaria. Pregnancy appears to interfere with immune process in malaria and the disease itself alters immune reactivity. Malaria is a parasite infestation with protozoan Plasmodium; transmitted through bite of female Anopheline mosquito. We present a case of 25 week multigravida with vivax malaria complaining of breathlessness. On further investigations, patient was found to have bilateral pleural effusion. 


Keywords


Malaria, Fever, Pregnancy, Plasmodium vivax, Breathlessness

Full Text:

PDF

References


Kumar A, Valecha N, Jain T, Dash AP. Ashwani Kumar, Neena Valecha. Burden of malaria in India: retrospective and prospective view. Am J Trop Med Hyg. 2007 Dec;77(6 Suppl):69-78.

Vidyadhar B. Bangal, Purushottam A. Giri. Study of pregnancy outcome in malaria among rural population of western Maharashtra, India. Int J Basic Appl Med Sci. 2012 May-Aug;2(2):108-11.

Neeru Singh, Mrigendra P. Singh. Malaria prevalence among pregnant women in two districts with differing endemicity in Chhattisgarh, India. Malaria J. 2012;11:274.

Marcus J. Rijken, Rose McGready. Malaria in pregnancy in the Asia-Pacific region. Lancet Infect Dis. 2012 Jan;12(1):75-88.

WHO. WHO policy brief for the implementation of intermittent preventive treatment of malaria in pregnancy using sulfadoxine-pyrimethamine (IPTp-SP). In: WHO, eds. WHO Global Malaria Programme. Geneva: WHO; 2013: 1-12.

Catherine O. Falade, Olukemi O. Tongo. Effects of malaria in pregnancy on newborn anthropometry. J Infect Dev Ctries. 2010;4(7):448-53.