Document Detail

Malaria in pregnant woman masquerading as HELLP syndrome.
MedLine Citation:
PMID:  19626579     Owner:  NLM     Status:  MEDLINE    
Malaria may be complicated by development of thrombocytopenia, elevated liver enzymes, and/or hemolysis, which may be difficult to distinguish from HELLP (hemolytic anemia; elevated liver enzymes; low platelet count) syndrome in a pregnant patient. A 33-year-old woman developed a HELLP-like syndrome and persistent fever postpartum without symptoms of preeclampsia. A malaria blood smear was performed and was positive for Plasmodium falciparum. The patient was immediately treated with quinine. The follow-up was uneventful with total disappearance of fever and prompt resolution of biochemical signs of HELLP-like syndrome 3 days later. Malaria in a pregnant woman can masquerade as HELLP syndrome. The wide overlap in symptoms (headache, malaise, digestive symptoms) does not suggest that symptoms would be effective in differentiating malaria and preeclampsia. A recent travel in endemic area, associated with malaria blood smear and clinic examination, should be the key of the differential diagnosis.
Guillaume Ducarme; Claire Thuillier; Anne Wernet; Claire Bellier; Dominique Luton
Related Documents :
11720149 - Hemolysis, elevated liver enzymes, and low platelet count (hellp) syndrome with acute c...
11993739 - Drug therapy for west's syndrome.
19464509 - Gastrointestinal complications of pre-eclampsia.
17989739 - Failed back surgery syndrome.
11372559 - Late occurrence of diffuse cerebral swelling after intracerebral hemorrhage in a patien...
19548999 - Clinical guidelines for interstitial cystitis and hypersensitive bladder syndrome.
24505229 - Adams oliver syndrome: description of a new phenotype with cerebellar abnormalities in ...
859679 - Effect of subtotal parathyroidectomy on dialysis dementia.
7727489 - Pfeiffer syndrome: a clinical review.
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-07-22
Journal Detail:
Title:  American journal of perinatology     Volume:  27     ISSN:  1098-8785     ISO Abbreviation:  Am J Perinatol     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-01-22     Completed Date:  2010-04-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8405212     Medline TA:  Am J Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  171-2     Citation Subset:  IM    
Copyright Information:
Thieme Medical Publishers.
Department of Obstetrics and Gynecology, H?pital Beaujon, Assistance Publique-H?pitaux de Paris, 100, Boulevard du G?n?ral Leclerc, 92110 Clichy, France.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Antimalarials / therapeutic use
Diagnosis, Differential
Fever / parasitology
HELLP Syndrome / diagnosis
Malaria, Falciparum / diagnosis*,  drug therapy
Plasmodium falciparum / isolation & purification
Pregnancy Complications, Infectious / diagnosis*
Quinine / therapeutic use
Reg. No./Substance:
0/Antimalarials; 130-95-0/Quinine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Possible words and fixed stress in the segmentation of Slovak speech.
Next Document:  Development of the Chinese language paediatric daily occupation scale in Taiwan.