Images in Clinical Medicine

Kim Eagle, M.D., Editor

Placental Malaria

Ira J. Miller, M.D., Ph.D., and Sam R. Telford, III, D.Sc.

N Engl J Med 1996; 335:98July 11, 1996

• Slide

Article

Figure 1 A 40-year-old Nigerian woman with a history of malaria was admitted at 36 weeks of pregnancy after 4 days of intermittent fever, with temperatures up to 40°C (104°F), and lower abdominal pain. The base-line fetal heart rate was 108 beats per minute, with late decelerations. An emergency cesarean section was performed, and a healthy-appearing baby boy was born, with Apgar scores of 6 at one minute and 9 at five minutes. Maternal malaria due to a mixed infection with Plasmodium falciparum and P. malariae was diagnosed on the basis of a peripheral-blood smear. The mother was treated successfully with quinine sulfate and doxycycline. The infant was not ill.

Kim Eagle, M.D.

Ira J. Miller, M.D., Ph.D.
Brigham and Women's Hospital, Boston, MA 02115

Sam R. Telford, III, D.Sc.
Harvard School of Public Health, Boston, MA 02115

Citing Articles (2)

Citing Articles

1. 1

   C. J. Uneke. (2007) Congenital Plasmodium falciparum malaria in sub-Saharan Africa: a rarity or frequent occurrence?. Parasitology Research 101:4, 835-842
   CrossRef

2. 2

   (1997) Congenital Malaria. New England Journal of Medicine 336:1, 71-72
   Full Text

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