Muerte materna por malaria grave por plasmodium vivax

Translated title of the contribution: Maternal death from severe malaria due to Plasmodium vivax

Nancy Arróspide, Máximo Manuel Espinoza Silva, Edwin Miranda-Choque, Percy Mayta-Tristán, Pedro Legua, César Cabezas

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Here we describe the case of a 19-year-old woman, in her 29th week of gestation, who was from Llumpe (Ancash, Peru) and had a history of traveling to Chanchamayo (Junín, Peru) and Rinconada (Ancash, Peru). The patient presented at Chacas Hospital (Chacas, Ancash, Peru) with general malaise, dehydration, respiratory distress, jaundice, the sensation of thermal rise, and abdominal pain. Analysis of blood smears revealed 60% hemoparasites. She was transferred to Ramos Guardia Hospital (Huaraz, Peru) where she presented increasing respiratory distress, choluria, hematuria, and decreased urine output, moreover she was positive for Plasmodium. From there she was transferred to Cayetano Heredia Hospital (Lima, Peru), where she was admitted to the intensive care unit (ICU) with multiple organ failure, stillbirth, and leading to death. She underwent mechanical ventilation, was administered clindamycin, and was prescribed quinine, which she did not received due a lack by availability. The evolution of the illness was torpid, and she ultimately developed multiple organ failure and died. Plasmodium vivax infection was confirmed. Accordingly, we emphasize the importance of improving our diagnostic capabilities and management techniques to enable clinicians to provide adequate and timely treatment.

Translated title of the contributionMaternal death from severe malaria due to Plasmodium vivax
Original languageSpanish
Pages (from-to)368-372
Number of pages5
JournalRevista Peruana de Medicina de Experimental y Salud Publica
Volume33
Issue number2
DOIs
StatePublished - 1 Apr 2016

Bibliographical note

Publisher Copyright:
© 2016, Instituto Nacional de Salud. All rights reserverd.

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