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Another interesting case

February 6, 2013 - 12:46 -- Ricardo Ataide

Pregnant woman arrives at the Maternity. She is worried because she had to leave her kids at home and the River Jurua is about to flood the area, so coming to the Maternity (which involves getting a boat lift from a neighbour and then walking 1.5 km)is a great deal. She is 31 weeks into her pregnancy. Two weeks ago she had a malaria episode, Pf, and was given Quinine and Clindamycin. Now she has diarrhea, lower abdominal pain, 9 g/dL of hemoglobin, 29% hematocrit. The acting medical doctor at the maternity sends her away saying (and I'm quoting the pregnant lady): Stop wasting my time, this is for the local health centers to solve. Here at the Maternity I attend women in labour!
She is picked up by a member of our research team and after taking a drop of blood, we find Pf gametocytes.

Again i ask... what would you do?

Comments

Submitted by Jodi-Ann (not verified) on

I am a medical student aanelief that the maternity doctor/ (obs/gyn) should treat the woman because he is the most qualified to determine and help prevent a miscarriage and stillbirth. Based on the fact that gametocytes are present, merozoites may also be lurking so I would take blood samples to hopefully give give her a clear bill of health.