| Fever of unknown origin in pregnancy: the need for a full history. | |
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MedLine Citation:
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PMID: 23213125 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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A 26-year-old woman with 29 weeks gestation presented with headache, photophobia and fever. She had deranged liver function tests and low platelets on admission. Blood film, performed to look for haemolysis, revealed she had Plasmodium vivax malaria, despite not having travelled to an endemic malaria area for over 1 year. The diagnosis was confirmed on PCR test performed in the HPA malaria reference laboratory in London and she was treated with chloroquine. She delivered a healthy baby at 33+3 weeks gestation, and once the patient and the baby had both tested negative for glucose-6-phospate dehydrogenase deficiency, she was given primaquine to clear the hypnozoite phase in the liver. This case highlights the importance of an extended travel history in a patient with fever of unknown origin and the difficulties of treating non-falciparum malaria in pregnancy. |
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Authors:
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Kim Milne; Tara Dallard; J Graham Douglas |
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Publication Detail:
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Type: Journal Article Date: 2012-12-04 |
Journal Detail:
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Title: BMJ case reports Volume: 2012 ISSN: 1757-790X ISO Abbreviation: BMJ Case Rep Publication Date: 2012 |
Date Detail:
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Created Date: 2012-12-05 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101526291 Medline TA: BMJ Case Rep Country: England |
Other Details:
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Languages: eng Pagination: - Citation Subset: IM |
Affiliation:
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Department of Infection Unit, Aberdeen Royal Infirmary, Aberdeen, UK. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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