Complicated Malaria and Dengue During Pregnancy
Malarial fever and dengue fever are major global health problems with about half of the world population at risk. Malaria is caused by protozoal parasite of genus Plasmodium by bite of infected female Anopheles mosquito while dengue is caused by dengue virus by bite of infected female Aedes aegypti mosquito. Pregnant patients because of their lowered immunity are at increased risk of developing the severe disease. Complicated malaria and severe dengue lead to adverse maternal and perinatal outcome including mortality. Also there is increased risk of vertical transmission in both. Parenteral artemisinin-based chemotherapy should be started without delay in severe malaria. There is no specific antiviral drug for dengue fever and treatment is mainly supportive and symptomatic. Malaria when timely and adequately treated does not have a residual deficit and the patients recover fully. In dengue fever recovery from infection provides lifelong immunity to that serotype, but subsequent infections by other serotypes increase the risk of developing severe dengue.
KeywordsSevere Malaria Dengue Virus Dengue Fever Packed Cell Volume Dengue Hemorrhagic Fever
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