Malaria in Neonates: Case series|
Bukeyeneza, Jocelyne; Esmaili, Emily; Kanyamuhunga, Aimable & Rogo, Tanya
Malaria is a parasitic infection caused by different
plasmodium species. Plasmodium falciparum is the
most prevalent species in Rwanda, but the cause of
its transmission in neonates is unknown. Malaria is a
major problem worldwide, especially in Sub- Saharan
Africa, with significant health risks for infants and
pregnant women , with 50 million women living in
malaria-endemic areas becoming pregnant every year.
Prevalence of maternal malaria is estimated at 28% with
an incidence of congenital malaria of 0.3 to 10% .
Despite interventions such as distribution of mosquito
nets and free rapid diagnostic tests for all age groups,
cases are still being seen in hyper-endemic areas .
Newborns are known to rarely contract congenital malaria
due to protection from passive maternal antibodies,
high levels of fetal hemoglobin (which is resistant to
P. falciparum), and the placental barrier . However,
its occurrence in neonates is not unusual . It can
be acquired from the mother prenatally or perinatally
following a breach in the placental barrier, from mosquito
bites, or by blood transfusions .
In this paper we describe clinical features of three cases
of neonatal malaria treated successfully in the neonatal
unit of the University Teaching Hospital of Butare (CHUB)
from July to September 2014.
Malaria infant; Newborn; Blood smear; Artesunate; Rwanda