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Journal of Tropical Pediatrics 1987 33(5):266-268; doi:10.1093/tropej/33.5.266
© 1987 by Oxford University Press
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Neonatal Malaria: a Clinical Study of Congenital and Transfusional Malaria

B. R. Thapa, A. Narang and O. N. Bhakoo

Department of Pediatrics, Postgraduate Institute of Medical Education and Research Chandigarh, India

Correspondence: Dr A. Narang, Postgraduate Institute of Medical Education & Research, Chandigarh-160012, India.

Thirty-one babies with neonatal malaria (congenital = 13, transfusional = 18) were treated over a period of 10 years at the Postgraduate Institute of Medical Education & Research, Chandigarh. Anaemia (100 per cent) pyrexia (90 per cent), splenomegaly (84 per cent), hepatomegaly (64 per cent), and jaundice (22 per cent) were the presenting features. Three babies had cerebral malaria while one baby had intravascular haemolysis and acute renal failure. The mothers of 8 out of 13 babies with congenital malaria had malaria during the third trimester. Plasmodium vivax was found in 25 babies and Plasmodium falciparum in nine babies. Three babies had mixed infestations. Twenty-eight out of 30 babies responded to chloroquine therapy whereas two out of three babies with cerebral malaria had a fatal outcome.


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