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Uncomplicated Plasmodium vivax malaria in pregnancy associated with mortality from acute respiratory distress syndrome

Overview of attention for article published in Malaria Journal, May 2014
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Title
Uncomplicated Plasmodium vivax malaria in pregnancy associated with mortality from acute respiratory distress syndrome
Published in
Malaria Journal, May 2014
DOI 10.1186/1475-2875-13-191
Pubmed ID
Authors

Rose McGready, Klanarong Wongsaen, Cindy S Chu, Nay Win Tun, Kesinee Chotivanich, Nicholas J White, François Nosten

Abstract

The association between severe malaria and Plasmodium vivax species is contentious. On the Thai-Myanmar border, all pregnant women are followed systematically with active weekly malaria screening. Over a 27-year period of providing antenatal care, 48,983 have been prospectively followed until pregnancy outcome (miscarriage or delivery) and 4,298 women have had P. vivax detected at least once. Reported here is the first known P. vivax-associated death amongst these women. The initial patient presentation was of uncomplicated P. vivax (0.5% parasitaemia) in a term, multigravida woman who responded rapidly to oral artesunate and mefloquine treatment, clearing her blood stage parasites within 48 hours. The patient appeared well, was ambulatory and due to be discharged but became unwell with acute respiratory distress syndrome (ARDS) requiring ventilation three days (67 hours) into treatment. Despite induction and delivery of a stillborn foetus, ventilatory requirements increased and the patient died on day 7. The patient had a low body mass index. Sensitive detection with nested PCR confirmed only the presence of P. vivax species and concomitant infections such as tuberculosis and human immunodeficiency virus (HIV) were also ruled out. The contemporaneous treatment of acute uncomplicated P. vivax and the onset of ARDS on day 3 in this patient implies a possible but unconfirmed association with death in this patient. Assuming this death was caused by P. vivax, the risk of ARDS-related maternal mortality in this setting did not differ significantly between Plasmodium falciparum and P. vivax (0.24 per 1,000 (1/4,158) versus 0.23 per 1,000 (1/4,298), contrary to the increased risk of maternal mortality from P. falciparum compared to P. vivax, 2.89 per 1,000 (12/4,158) versus 0.23 per 1,000 (1/4,298), P = 0.003.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 126 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Brazil 4 3%
Belgium 2 2%
United Kingdom 1 <1%
Thailand 1 <1%
Spain 1 <1%
Unknown 117 93%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 20 16%
Student > Master 16 13%
Researcher 12 10%
Student > Bachelor 9 7%
Student > Postgraduate 8 6%
Other 28 22%
Unknown 33 26%
Readers by discipline Count As %
Medicine and Dentistry 38 30%
Agricultural and Biological Sciences 15 12%
Nursing and Health Professions 9 7%
Immunology and Microbiology 7 6%
Arts and Humanities 4 3%
Other 20 16%
Unknown 33 26%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 27 May 2014.
All research outputs
#20,001,744
of 24,580,204 outputs
Outputs from Malaria Journal
#5,264
of 5,786 outputs
Outputs of similar age
#168,889
of 231,492 outputs
Outputs of similar age from Malaria Journal
#75
of 100 outputs
Altmetric has tracked 24,580,204 research outputs across all sources so far. This one is in the 10th percentile – i.e., 10% of other outputs scored the same or lower than it.
So far Altmetric has tracked 5,786 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.9. This one is in the 4th percentile – i.e., 4% of its peers scored the same or lower than it.
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We're also able to compare this research output to 100 others from the same source and published within six weeks on either side of this one. This one is in the 13th percentile – i.e., 13% of its contemporaries scored the same or lower than it.