M Develoux1, G Le Loup2, B Lafon-Desmurs2, D Magne1, G Belkadi1, E Daray3, G Pialoux2, C Hennequin4,5. 1. Service de Parasitologie-Mycologie, Saint-Antoine, AP-HP, Hôpital Saint-Antoine, 34 rue Crozatier, 75012, Paris, France. 2. Service des Maladies Infectieuses et Tropicales, AP-HP, Hôpital Tenon, 75020, Paris, France. 3. Service de Gynécologie-Obstétrique, AP-HP, Hôpital Tenon, 75020, Paris, France. 4. Service de Parasitologie-Mycologie, Saint-Antoine, AP-HP, Hôpital Saint-Antoine, 34 rue Crozatier, 75012, Paris, France. christophe.hennequin-sat@aphp.fr. 5. Sorbonne Universités, UPMC Univ Paris 06, Inserm UMR S 1135, CNRS ERL 8255, Centre d'Immunologie et des Maladies Infectieuses (CIMI-Paris), 75013, Paris, France. christophe.hennequin-sat@aphp.fr.
Abstract
OBJECTIVE: To describe malaria during pregnancy outside endemic areas. MATERIALS AND METHODS: We retrospectively reviewed all cases of imported malaria during pregnancy, diagnosed over a 11-year period in a French hospital. RESULTS AND CONCLUSION: We recovered 18 cases, all from sub-Saharan countries. The infection could appear distantly from arrival in France (up to 36 months), was asymptomatic in 3 cases, with anemia being the most common marker of infection (n = 14). The adverse consequences for the fetus (n = 3) or the newborn (n = 4) were frequent. Physicians should be aware of these atypical presentations in order to anticipate the diagnosis and improve the maternal and fetal prognosis.
OBJECTIVE: To describe malaria during pregnancy outside endemic areas. MATERIALS AND METHODS: We retrospectively reviewed all cases of imported malaria during pregnancy, diagnosed over a 11-year period in a French hospital. RESULTS AND CONCLUSION: We recovered 18 cases, all from sub-Saharan countries. The infection could appear distantly from arrival in France (up to 36 months), was asymptomatic in 3 cases, with anemia being the most common marker of infection (n = 14). The adverse consequences for the fetus (n = 3) or the newborn (n = 4) were frequent. Physicians should be aware of these atypical presentations in order to anticipate the diagnosis and improve the maternal and fetal prognosis.
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