1982
DOI: 10.1016/0035-9203(82)90011-6
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Congenital malaria due to Plasmodium vivax: a case report from Sri Lanka

Abstract: A case of Plasmodium vivax malaria in an eight-week-old infant in Colombo is documented, with epidemiological and circumstantial evidence which strongly supports a transplacental route of infection. The malarial antibody levels detected by the indirect fluorescent antibody technique in both mother and child are discussed in terms of the present epidemiological pattern of malaria in the country. We also comment on the species incidence of congenital malaria, this case being the first caused by P. vivax in Sri L… Show more

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Cited by 28 publications
(23 citation statements)
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“…The postulated mechanisms for congenital transmission according to an earlier report include maternal transfusion into the fetal circulation either at the time of delivery or during pregnancy, through direct penetration through the chorionic villi, or through premature separation of the placenta (De Silva et al 1982). However, the effectiveness of the placenta to restrain malaria parasite passage to the fetus and the remarkable capacity of the fetus to resist infection was demonstrated (Miller and Telford 1996).…”
Section: Discussionmentioning
confidence: 99%
“…The postulated mechanisms for congenital transmission according to an earlier report include maternal transfusion into the fetal circulation either at the time of delivery or during pregnancy, through direct penetration through the chorionic villi, or through premature separation of the placenta (De Silva et al 1982). However, the effectiveness of the placenta to restrain malaria parasite passage to the fetus and the remarkable capacity of the fetus to resist infection was demonstrated (Miller and Telford 1996).…”
Section: Discussionmentioning
confidence: 99%
“…Neonatal malaria was once thought to be rare, especially in malaria holo-endemic areas [3]. This was thought to be due to the protective effect of maternal antibodies that are passed to the newborn [4][5][6]and to the protective role of fetal hemoglobin in slowing the rate of the parasite development [7].…”
Section: Introductionmentioning
confidence: 99%
“…The great majority of malaria cases in the world occur in tropical Africa where the disease is esti mated to cause 0.5-1 million deaths per year [2], In Mozambique malaria constitutes one of the principal health problems. In 1975/1976 malaria prevalence was over 40%, but the situation has worsened due to the appearance of chloroquine resistance [3], One serious consequence of this is the deterioration of maternal and child health [1], Pregnant women are more affected by malaria than non-pregnant women both in types with few symptoms [4] and in types with more acute symptoms [5], The situation might be worsened by inadequate therapy and by a diminishing protective immunity [6,7], In many cases malaria is complicated by a serious maternal anaemia, above all in the second trimester [5,8], Malarial complications of the fetus comprise fetal loss and prema turity [4], retarded intra-uterine growth [9,10], decreased passage of IgG [7,9] and congenital malaria [ 1,[11][12][13][14][15], Placental malaria is described in the literature as an entity associated with an increase in placental surface parasitaemia [13] with associated tissular changes in the blood cell membrane and in the trophoblastic cells [9], There seems to be auto-agglutination and fibrine aggrega tion in the intervillous space with deposition of malarial pigment and mononuclear cell infiltration [16],…”
Section: Introductionmentioning
confidence: 99%