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Archivos Venezolanos de Puericultura y Pediatría

versión impresa ISSN 0004-0649

Resumen

CARVAJAL SANCHEZ, Carlos Alberto; GUERRERO CHIRINO, Merys Josefina  y  HERNANDEZ RONDON, Anabel Del Valle. Congenital malaria: Retrospective study 2000-2001. Hospital ¨Menca de Leoni¨. Bolívar. Venezuela. Arch Venez Puer Ped [online]. 2012, vol.75, n.4, pp.96-99. ISSN 0004-0649.

Malaria is a major health problem in many of the tropical and subtropical countries. Congenital malaria is transmitted vertically from mother to child during pregnancy or at delivery. The objectives of the present study are to update the literature study on congenital malaria and to show the incidence of cases in the population of Ciudad Guayana, Bolívar, Venezuela. Methods: Eight children who were admitted to the Hospital “Menca de Leoni” during 2000 to 2011 were included. Variables studied were: gender, age, interval between the beginning of de symptoms and diagnosis, clinical findings, etiologic agent, age at diagnosis, gestation age at the moment of acquiring the infection, hematologic findings and treatment. Results: Boys were affected more frequently, all cases presented during the first month of age. The gestation age most frequent at the moment of acquiring the infection was the third trimester. Most frequent clinical findings were fever and skin pallor. The most frequent parasitic form was Plasmodium vivax. Treatment with chloroquine was indicated in most of children with good clinical outcome. Conclusions: The predominant symptom of congenital malaria in the studied children was fever and the highest percentage presented parasitaemia by Plasmodium vivax. Most patients received treatment with antimalarial monotherapy based on chloroquine, with satisfactory clinical outcome.

Palabras clave : Malaria; congenital malaria; Plasmodium vivax; chloroquine.

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