Maternal death from severe malaria due to Plasmodium vivax

Authors

  • Nancy Arróspide Instituto Nacional de Salud del Niño. Lima, Perú
  • Máximo Manuel Espinoza Centro Nacional de Salud Pública, Instituto Nacional de Salud. Lima, Perú
  • Edwin Miranda-Choque Instituto Nacional de Salud del Niño. Lima, Perú
  • Percy Mayta-Tristán Escuela de Medicina Universidad Peruana de Ciencias Aplicadas. Lima, Perú
  • Pedro Legua Instituto de Medicina Tropical Alexander Von Humboldt, Universidad Peruana Cayetano Heredia. Lima, Perú.
  • César Cabezas Centro Nacional de Salud Pública, Instituto Nacional de Salud. Lima, Perú

DOI:

https://doi.org/10.17843/rpmesp.2016.332.2186

Keywords:

Malaria, Pregnancy, Maternal Death, Plasmodium vivax

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.

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Published

2016-05-30

Issue

Section

Case Report

How to Cite

1.
Arróspide N, Espinoza MM, Miranda-Choque E, Mayta-Tristán P, Legua P, Cabezas C. Maternal death from severe malaria due to Plasmodium vivax. Rev Peru Med Exp Salud Publica [Internet]. 2016 May 30 [cited 2024 Feb. 25];33(2):368-72. Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/2186

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