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Re: Malaria Prophylaxis during pregnancyFrom: Eberhard Lisse (el@ac.lisse.na)Fri Mar 22 09:08:23 2002
In message <70.19d25186.29cc6dc5@aol.com>, DoctorJoe@aol.com writes: > > In a message dated 3/21/02 11:28:20 PM, el@ac.lisse.na writes: > > << Malaria in Pregnancy is VERY, VERY bad news. One of the few diseaes > that worry me. > > The best prophylaxis is not to go, when pregnant. So, talk her out of > it. And, I mean that. > > Where does she want to "visit" anyway? And why? >> > > I would agree. It CAN get to the baby and it IS hard to treat. Some of the > drugs are pretty nasty in pregnacy, and some of the drugs are nasty anyway. > > She only has 9 months to wait. Why go now at all? Joe, That some of these drugs are nasty doesn't bother me much, because unless you take them you die. And that it can get to the baby doesn't bother me much either. That it makes microinfarcts does. Because these kill the mother. Renal failure, pulmonary edema, a combination of the two (really not nice to have), cerebral malaria and of course the multi organ failure. In the placenta they of course retard or kill the baby. The problem is that Malaria is a deadly disease, treatment of which requires expertise. Not something that you read in a book once or twice, but actual, real, hands on experience. Nevermind making the diagnosis in the first point. But Malaria in Pregnancy should be looked at as a separate entity. It is much much more severe, and much much less predicteable. Going into an endemic area with a small baby is also not the wisest choice in my view. But that's why I'd like to know where and when she wishes to travel. Lynn, any info on this one? el
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