{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T21:13:38Z","timestamp":1761513218567,"version":"3.40.4"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 26-year-old woman with 29\u2005weeks gestation presented with headache, photophobia and fever. She had deranged liver function tests and low platelets on admission. Blood film, performed to look for haemolysis, revealed she had<jats:italic>Plasmodium vivax<\/jats:italic>malaria, despite not having travelled to an endemic malaria area for over 1\u2005year. The diagnosis was confirmed on PCR test performed in the HPA malaria reference laboratory in London and she was treated with chloroquine. She delivered a healthy baby at 33+3\u2005weeks gestation, and once the patient and the baby had both tested negative for glucose-6-phospate dehydrogenase deficiency, she was given primaquine to clear the hypnozoite phase in the liver. This case highlights the importance of an extended travel history in a patient with fever of unknown origin and the difficulties of treating non-falciparum malaria in pregnancy.<\/jats:p>","DOI":"10.1136\/bcr-2012-006307","type":"journal-article","created":{"date-parts":[[2012,12,4]],"date-time":"2012-12-04T20:36:03Z","timestamp":1354653363000},"page":"bcr2012006307","source":"Crossref","is-referenced-by-count":1,"title":["Fever of unknown origin in pregnancy: the need for a full history"],"prefix":"10.1136","volume":"2012","author":[{"given":"Kim","family":"Milne","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tara","family":"Dallard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J Graham","family":"Douglas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,12,4]]},"reference":[{"unstructured":"Gill GV Beeching GV . Lecture notes in tropical medicine, 5th edn 2007, Oxford: Blackwell Publishing.","key":"2025042707463675000_2012.dec04_1.bcr2012006307.1"},{"doi-asserted-by":"publisher","key":"2025042707463675000_2012.dec04_1.bcr2012006307.2","DOI":"10.1016\/S1473-3099(07)70021-X"},{"unstructured":"Chedraui PA Daily J Wylie BJ . Overview of malaria in Pregnancy. UpToDate Feb 2012.","key":"2025042707463675000_2012.dec04_1.bcr2012006307.3"},{"unstructured":"Royal College of Obstetrics and Gynaecology. Green-top Guideline number 54b. The Diagnosis and Treatment of Malaria in Pregnancy, April 2010.","key":"2025042707463675000_2012.dec04_1.bcr2012006307.4"},{"doi-asserted-by":"publisher","key":"2025042707463675000_2012.dec04_1.bcr2012006307.5","DOI":"10.1179\/136485905X65099"},{"unstructured":"Chiodini P Hill D Lalloo D . \u00a0Guidelines for malaria prevention in travelers from the UK. London: Health Protection Agency, 2007.","key":"2025042707463675000_2012.dec04_1.bcr2012006307.6"},{"key":"2025042707463675000_2012.dec04_1.bcr2012006307.7","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1111\/j.1471-0528.1992.tb14467.x","article-title":"Plasmodium falciparum malaria in pregnancy: a review","volume":"99","author":"Nathwani","year":"1992","journal-title":"Br J Obstetr Gynaecol"},{"doi-asserted-by":"publisher","key":"2025042707463675000_2012.dec04_1.bcr2012006307.8","DOI":"10.1086\/586744"},{"key":"2025042707463675000_2012.dec04_1.bcr2012006307.9","doi-asserted-by":"crossref","first-page":"398","DOI":"10.4269\/ajtmh.2004.70.398","article-title":"The effects of Plasmodium falciparum and P. vivax infections on placental histopathology in an area of low malaria transmission","volume":"70","author":"McGready","year":"2004","journal-title":"Am J Trop Med Hyg"},{"doi-asserted-by":"publisher","key":"2025042707463675000_2012.dec04_1.bcr2012006307.10","DOI":"10.1086\/586743"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2012-006307","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T14:46:43Z","timestamp":1745765203000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2012-006307"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,12,4]]},"references-count":10,"alternative-id":["10.1136\/bcr-2012-006307"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2012-006307","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2012,12,4]]}}}