We report on a 25- year- old prima gravida in the 26th week of pregnancy with a malaria tropica infection from Kenya. A prior therapy for Lues latens seropositiva had been successful. Hospital admission was because of...We report on a 25- year- old prima gravida in the 26th week of pregnancy with a malaria tropica infection from Kenya. A prior therapy for Lues latens seropositiva had been successful. Hospital admission was because of uncommon fever, chronic anemia and increasing thrombocytopenia. After typical attacks of fever malaria tropica was diagnosed in blood slides; because of this an intravenous therapy with chinin and clindamycin over 8 days was started. As a side effect of the chinin therapy premature labour resulted, which necessitated tocolytic treatment. The patient returned to give birth in the 40th week of pregnancy; a girl with a birth weight of 3560 g was born (APGAR score 9/10/10, pHNA 7.27). Signs of connatal lues did not show up in the first 14 days of the infant’ s life. In Europe malaria infections during pregnancy are rarely described in the literature. However, for a differential diagnosis of uncommon attacks of fever in pregnancy blood slides are recommended. In principle in pregnancy travel to malaria-endemic areas should be avoided. After the 16th week of pregnancy mefloquine is the current drug of choice for chemoprophylaxis.展开更多
Listeriosis is an infection caused b y the bacterium Listeriamonocytogenes.In pregnancy listeriosis may result in abortion,still -birth,premature d elivery or severe neonatal infection.Clinical manifestations of mater...Listeriosis is an infection caused b y the bacterium Listeriamonocytogenes.In pregnancy listeriosis may result in abortion,still -birth,premature d elivery or severe neonatal infection.Clinical manifestations of maternal lis-teriosis are often influenza -like s ymptoms.We present a case of listeriosis in a triplet pregnancy with abortion of the1st and 2nd fetus and the birth of a healthy 3rd child in the25th week of gestation.展开更多
文摘We report on a 25- year- old prima gravida in the 26th week of pregnancy with a malaria tropica infection from Kenya. A prior therapy for Lues latens seropositiva had been successful. Hospital admission was because of uncommon fever, chronic anemia and increasing thrombocytopenia. After typical attacks of fever malaria tropica was diagnosed in blood slides; because of this an intravenous therapy with chinin and clindamycin over 8 days was started. As a side effect of the chinin therapy premature labour resulted, which necessitated tocolytic treatment. The patient returned to give birth in the 40th week of pregnancy; a girl with a birth weight of 3560 g was born (APGAR score 9/10/10, pHNA 7.27). Signs of connatal lues did not show up in the first 14 days of the infant’ s life. In Europe malaria infections during pregnancy are rarely described in the literature. However, for a differential diagnosis of uncommon attacks of fever in pregnancy blood slides are recommended. In principle in pregnancy travel to malaria-endemic areas should be avoided. After the 16th week of pregnancy mefloquine is the current drug of choice for chemoprophylaxis.
文摘Listeriosis is an infection caused b y the bacterium Listeriamonocytogenes.In pregnancy listeriosis may result in abortion,still -birth,premature d elivery or severe neonatal infection.Clinical manifestations of maternal lis-teriosis are often influenza -like s ymptoms.We present a case of listeriosis in a triplet pregnancy with abortion of the1st and 2nd fetus and the birth of a healthy 3rd child in the25th week of gestation.
