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Case Report
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| Leptospirosis complicating the malarial fever in pregnancy: An unusual complication |
| Sanket K Mahajan1, Daanish A Chhapra2, |
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1Department of Medicine, Krishna Institute of Medical Sciences University, Karad (KIMSU).
2Krishna Institute of Medical Sciences University, Dhebewadi Road, Karad, Dist. Satara (Maharashtra State), India. |
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doi:10.5348/ijcri-2012-08-164-CR-11
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Address correspondence to: Dr. Sanket K Mahajan 117, Mahavir Nagar, Bamroli Road Godhra (Dist: Panchmahals) Gujarat India Phone: +919158296226 Email: msanket_14@yahoo.co.in |
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| How to cite this article: |
| Mahajan SK, Chhapra DA. Leptospirosis complicating the malarial fever in pregnancy: An unusual complication. International Journal of Case Reports and Images 2012;3(8):39–42. |
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Abstract
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Introduction:
Malarial fever is common in tropics but it becomes difficult to diagnose it in the presence of leptospirosis, the clinical picture of which is masked by malarial fever. We report such case of mixed infection of malaria with leptospirosis in pregnancy which was diagnosed with very high index of suspicion.
Case Report: A mixed infection of P. vivax malaria complicated by leptospirosis in 27th week of a pregnant patient who presented with fever with rigors, abdominal pain and jaundice, the prompt diagnosis of which helped us in proper aggressive treatment in the form of quinine and ceftriaxone along with supportive care with excellent outcome. Conclusion: Mixed infection leads to underdiagnose certain tropical diseases, especially the coinfection by leptospira in a diagnosed case of malaria where the clinical picture coincides and so timely and correct interpretation of the clinical presentation, laboratory investigations and the response of the patient to the treatment leads to excellent patient outcome. | |
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Key Words:
Malarial fever leptospirosis mixed infection pregnancy
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Author Contributions:
Sanket K Mahajan – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Daanish A Chhapra – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Final approval of the version to be published |
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Guarantor of submission:
The corresponding author is the guarantor of submission. |
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Source of support:
None |
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Conflict of interest:
Authors declare no conflict of interest. |
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Copyright:
© Sanket K Mahajan et al. 2012; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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