Clinical case of congenital quartana malaria

Abstract

Aim. Description of a clinical case of congenital fourday malaria. Case study. Patient: Female, 56 days old, with thrombocytopenia and anaemia. Due to abnormal changes in the blood tests, a blood smear was prepared for microscopic examination. The digital CellaVision system detected giant platelets. Imaging revealed malaria Quartana: Plasmodium malariae. The CellaVision system did not detect gametocytes and schizonts and mistakenly classified them as platelets. of African descent and previously ill with unknown malaria, underwent treatment, showed no clinical symptoms. During pregnancy, there were no typical symptoms of malaria. After the birth of the child, jaundice was detected and a complete blood test was performed. Results were normal, but jaundice persisted and fever subsequently developed. A second blood test was carried out. After microscopic examination, the causative agent of Quartana malaria, Plasmodium malariae, was found. The diagnosis was confirmed by a positive PCR test. Conclusion. In epidemiologically malaria-friendly regions, caution should be exercised about the possibility of the disease and testing of pregnant women arriving from an area with a high risk of malaria transmission should be mandatory.