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Re: Abruptio vivax ???From: Dr Eberhard W Lisse (el@lisse.NA)Tue Dec 19 23:01:16 1995
At 11:29 AM 13/12/95, Ralf Witteler wrote: >On Thu, 7 Dec 1995, Pete Bridgwood wrote:
>>Can you do another favour for me please? We had a woman who had an abruption and then was discovered to have malaria (P. Vivax) when we investigated her fever. The pathologist demonstrated parasites in the placenta. I've got a vague inkling that placental malaria and abruption are connected but can't remember where I read it or find a reference for it anywhere. Is it possible to circulate it on your O&G user group to see if anyone out there has any ideas. If they do I'd be grateful for some feedback +/- any references they may have. Medline was no help. We have only experience with falciparum around here but we see a lot... Did he mention calcifications or microinfarcts of the placenta? Falciparum makes microinfarcts by changing the surface of (unininfected !) erys which then clot. That gives renal failure, cerebral malaria, pulmonary edema and and of course IUGR. I can not remember any serious abrution that we felt attibutable to malaria in 8 seasons... For what you are telling my however I would suggest that these two problems are unrelated. el
-- Dr. Eberhard W. Lisse \ / Swakopmund State Hospital <el@lisse.NA> * | Resident Medical Officer Private Bag 5004 \ / +264 64 461503 (pager) 461005 (home) 461004 (fax) Swakopmund, Namibia ;____/ Zone/Domain Contact for the NA-DOM Vice-Chairman, Board of Trustees, Namibian Internet Development Foundation, an Association not for Gain. NAMIDEF is the Namibian Internet Service Provider.
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