NEONATAL MALARIA
Abstract
Neonatal malaria, once considered a rare diagnosis is frequently being diagnosed in Neonatal Intensive Care Units in infants admitted with suspected neonatal sepsis, particularly in highly endemic regions. Most infections are caused by Plasmodium falciparum, and Plasmodium vivax. The signs and symptoms are indistinguishable from neonatal septicemia, requiring a high index of suspicion for its diagnosis. Blood smear examination remains the gold standard; however several rapid diagnostic tests are now available, particularly for diagnosing Plasmodium falciparum infection. Chloroquine remains the drug of choice for treating congenital malaria, other antimalarials have been used with success in treating chloroquine-resistant neonatal malaria.
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