Recurrent Vivax Malaria in Pregnancy: A Case Report

Abstract

Malaria in a pregnant woman is more complicated than in other populations since it can cause stillbirth, spontaneous abortion, anemia, low birth weight, and infant mortality. Therefore, this case report was written. A 26-years-old pregnant woman in the 2nd trimester came with a chief complaint of fever. The fever was typical malaria and had a history of vivax malaria a month before. According to the result of her rapid diagnostic test, microscopic examination, and complete blood count, she was diagnosed with recurrent vivax malaria with anemia and thrombocytopenia in pregnancy. Dihidroartemisin-Pipieraquin (DHP) without primaquine was given to eradicate parasites. Packed red cells transfusion, iron, and folic acid supplementation were administered to improve and prevent recurrent anemia. Weekly chloroquine prophylaxis to prevent relapse during pregnancy cannot be applied due to chloroquine-resistant in Indonesia, so complete doses of primaquine were planned to be given after breastfeeding time to prevent relapse in the next.