Management of a Pregnant Woman With Malaria, Stillbirth, and a 12 × 11-cm Amoebic Liver Abscess in a Burundian Hospital: A Case Report.

Abstract

Background: Malaria and amoebic infections are considered risk factors for stillbirth and preterm labor, but their coexistence during pregnancy has not been previously reported. Case: We describe the first case of averted maternal mortality with fetal death in utero at 22 weeks' gestation, complicated by both falciparum malaria and hepatic amoebic abscess, in a rural hospital in Burundi. Conclusion: Amoebic liver abscesses are rarely described in pregnancy and, as far as we are aware, never in conjunction with severe malaria: two parasitic infections requiring completely different treatments. We successfully managed this difficult case in a rural context thanks to at least three main factors: staff skills, inventiveness, and advances in ultrasonographic technology.