| Malaria in pregnancy: update on emergency management. | |
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MedLine Citation:
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PMID: 20566259 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND: Pregnancy complicates the diagnosis, treatment, and clinical course of malaria. This clinical problem may be encountered in emergency department patients due to international travel. CASE REPORT: A primigravida woman at 20 weeks gestation presented to the Emergency Department with episodic fever, chills, headache, and nausea after travel to India and Asia. She had not taken malaria prophylaxis. After hospitalization, she developed acute respiratory distress syndrome and required intensive care management. Although she ultimately recovered from severe infection with Plasmodium vivax, she was not able to sustain her pregnancy and suffered a miscarriage. CONCLUSION: This case illustrates the serious nature of malaria in the pregnant patient. For this high-risk group, there is an increased incidence of severe anemia, as well as acute respiratory distress syndrome and pulmonary edema. A guideline is presented for the initial choice of anti-malarial drug treatment for the pregnant patient. |
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Authors:
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Janet Smereck |
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Publication Detail:
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Type: Journal Article Date: 2010-06-20 |
Journal Detail:
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Title: The Journal of emergency medicine Volume: 40 ISSN: 0736-4679 ISO Abbreviation: J Emerg Med Publication Date: 2011 Apr |
Date Detail:
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Created Date: 2011-04-18 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8412174 Medline TA: J Emerg Med Country: United States |
Other Details:
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Languages: eng Pagination: 393-6 Citation Subset: IM |
Copyright Information:
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Copyright © 2011 Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Emergency Medicine, Georgetown University Hospital, Washington, DC. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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