Treatment of suspected hyper-reactive malarial splenomegaly (HMS) in pregnancy with mefloquine

Am J Trop Med Hyg. 2014 Apr;90(4):609-611. doi: 10.4269/ajtmh.13-0706. Epub 2014 Mar 3.

Abstract

Malaria infections in pregnancy are associated with adverse outcomes for both mother and child. There are few data on hyper-reactive malarial splenomegaly, an aberrant immunological response to chronic or recurrent malaria in pregnancy. This retrospective assessment reviewed the impact of mefloquine treatment on pregnant women with suspected hyper-reactive malarial splenomegaly in an area of low malaria transmission in the 1990s, showing significant reductions in spleen size and anemia and anti-malarial antibody titers without any notable negative effect on treated women or their newborns.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Antibodies, Protozoan / immunology
  • Antimalarials / therapeutic use*
  • Female
  • Humans
  • Hypersplenism / drug therapy
  • Hypersplenism / etiology
  • Hypersplenism / immunology
  • Immunoglobulin M / immunology
  • Malaria / complications
  • Malaria / drug therapy*
  • Malaria / immunology
  • Mefloquine / therapeutic use*
  • Plasmodium / immunology
  • Pregnancy
  • Pregnancy Complications, Parasitic / drug therapy*
  • Pregnancy Complications, Parasitic / immunology
  • Retrospective Studies
  • Splenomegaly / drug therapy*
  • Splenomegaly / etiology
  • Splenomegaly / immunology

Substances

  • Antibodies, Protozoan
  • Antimalarials
  • Immunoglobulin M
  • Mefloquine