The management of a pregnant patient with malaria in West Texas

  • Hanna Kodeih
  • James Maher
  • Natalia Schlabritz-Lutsevich


Travel associated infectious disease, such as malaria, should be considered in returning
travelers from an endemic area presenting with fever. Malaria in pregnancy has a high maternal
and fetal morbidity and mortality burden. Early diagnosis is essential to improve maternal and
fetal outcomes by providing maternal supportive measures and anti-malarial medication.
We present a patient with severe acute febrile illness with mental status changes at 32 weeks
gestation. She became acutely symptomatic including high grade fever while visiting West
Texas from Nigeria. Despite initial diagnostic uncertainty, a multidisciplinary team successfully
diagnosed and treated her severe malaria. She delivered at term with no long lasting maternal or
fetal sequelae from her malarial infection. In an age of globalization, travel associated infectious
diseases should be considered in the differential of acute febrile illness in pregnant women.


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How to Cite
Kodeih, H., Maher, J., & Schlabritz-Lutsevich, N. (2019). The management of a pregnant patient with malaria in West Texas. The Southwest Respiratory and Critical Care Chronicles, 7(28), 47-52.