Goel Manish Kumar, Khanna Pradeep, Rajput Meena
J Indian Med Assoc. 2013 Oct;111(10):697-8, 701.
Congenital malaria is the least known manifestation of malaria and a much neglected area of research. Most of the existing information is limited to case reports in children born to non-immune women. Congenital malaria can be acquired by transmission of parasitised maternal erythrocytes across the placenta due to microdamage. Congenital malaria has been documented for many years but it was previously thought to be uncommon especially in indigenous populations. Many gaps in knowledge remain. There is a need of considering congenital malaria as differential diagnosis even in low endemic areas, especially in countries where there is social practice of moving the pregnant woman to her native place for childbirth, which may be endemic for malaria. Physicians should judge each case individually, considering such factors as reliability of follow-up and access to medical care and advice accordingly.
先天性疟疾是疟疾最鲜为人知的表现形式，也是一个备受忽视的研究领域。现有的大多数信息仅限于非免疫女性所生孩子的病例报告。先天性疟疾可通过受损的胎盘传播受寄生虫感染的母体红细胞而获得。先天性疟疾已有多年记录，但以前认为并不常见，尤其是在土著人群中。知识上仍存在许多空白。即使在低流行地区，也需要将先天性疟疾作为鉴别诊断，特别是在那些有将孕妇送回原籍地分娩的社会习俗的国家，而这些地区可能是疟疾流行区。医生应根据随访的可靠性以及获得医疗护理和建议的情况等因素，对每个病例进行单独判断。
