Institute of Infectious and Tropical Diseases, University of Brescia, Piazza Spedali Civili, 1 25125 Brescia, Italy.
Malar J. 2010 Mar 1;9:63. doi: 10.1186/1475-2875-9-63.
Although malaria in pregnancy can cause very significant neonatal morbidity, congenital malaria is a very rare condition in both endemic and non-endemic areas. A case of congenital malaria by Plasmodium vivax, initially mistaken for neonatal sepsis, is described. The correct diagnosis was accidentally done, as congenital malaria had been missed in the initial differential diagnosis.Vivax malaria is the leading species in congenital infections in Europe. This condition should be included in the differential diagnosis of neonatal sepsis even if the mother has no proven malarial episodes during the gestational period.
虽然妊娠疟疾可导致严重的新生儿发病率,但先天性疟疾在流行地区和非流行地区均非常罕见。本文描述了一例最初误诊为新生儿败血症的间日疟原虫先天性疟疾病例。由于在初始鉴别诊断中忽略了先天性疟疾,导致正确诊断是偶然的。在欧洲,间日疟原虫是先天性感染的主要病原体。即使母亲在妊娠期没有明确的疟疾发作,也应将这种情况纳入新生儿败血症的鉴别诊断中。