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[恶性疟原虫感染与妊娠。病例报告]

[Plasmodium falciparum infection and pregnancy. Case reports].

作者信息

Meira D A

出版信息

Rev Soc Bras Med Trop. 1989 Apr-Jun;22(2):99-101. doi: 10.1590/s0037-86821989000200007.

DOI:10.1590/s0037-86821989000200007
PMID:2700501
Abstract

In 1982 and 1985, an infant and a pregnant woman in the second trimester of her third pregnancy were respectively observed in Humaitá County, State of Amazonas, Brazil. Both had been diagnosed as having Plasmodium falciparum malaria. The infant was a boy born in the State of Amazonas with malaria since the 10th day of life and was examined at one month of age. His mother was 19 years old, was born in the State of Amazonas and had shown primary malarial infection on the day of the delivery of this child, her second. The pregnant woman was 22 years old, was born in the State of Amazonas, had two children respectively aged 8 and 6 years and had suffered three previous bouts of malaria, the first in 1983 and the last in March 1985. Both the infant and the pregnant woman were treated with clindamycin and evolved satisfactorily to clinical and parasitic cure. The infant probably presented with congenital malaria in view of the short period of incubation, which may have been due to the fact that he did not receive maternal antibodies.

摘要

1982年和1985年,在巴西亚马孙州的乌迈塔县分别观察到一名婴儿和一名处于第三次妊娠中期的孕妇。两人均被诊断为感染恶性疟原虫。该婴儿是一名出生在亚马孙州的男婴,自出生第10天起就患有疟疾,在1个月大时接受了检查。他的母亲19岁,出生于亚马孙州,在生下这个孩子(她的第二个孩子)时初次感染疟疾。这名孕妇22岁,出生于亚马孙州,有两个孩子,分别为8岁和6岁,此前曾患过3次疟疾,第一次在1983年,最后一次在1985年3月。婴儿和孕妇均接受了克林霉素治疗,临床和寄生虫学方面均治愈良好。鉴于潜伏期短,该婴儿可能患有先天性疟疾,这可能是因为他未获得母体抗体。

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