title: Plasmodium vivax congenital malaria in an area of very low endemicity in Guatemala: implications for clinical and epidemiological surveillance in a malaria elimination context.
abstract: This is a report of the first Plasmodium vivax congenital malaria case in Guatemala and the first case in Latin America with genotypical, histological and clinical characterization. The findings show that maternal P. vivax infection still occurs in areas that are in the pathway towards malaria elimination, and can be associated with detrimental health effects for the neonate. It also highlights the need in very low transmission areas of not only maintaining, but increasing awareness of the problem and developing surveillance strategies, based on population risk, to detect the infection especially in this vulnerable group of the population.
authors.affiliation: Centro de Estudios en Salud, Universidad del Valle de Guatemala, 18 avenida 11-95 zona 15 Vista Hermosa 3, Guatemala, Guatemala.
authors.forename: María Eugenia
authors.initials: ME
authors.lastname: Castellanos
authors.forename: Azucena
authors.initials: A
authors.lastname: Bardají
authors.forename: Michela
authors.initials: M
authors.lastname: Menegon
authors.forename: Alfredo
authors.initials: A
authors.lastname: Mayor
authors.forename: Meghna
authors.initials: M
authors.lastname: Desai
authors.forename: Carlo
authors.initials: C
authors.lastname: Severini
authors.forename: Clara
authors.initials: C
authors.lastname: Menéndez
authors.forename: Norma
authors.initials: N
authors.lastname: Padilla
mesh_terms: D019353:Endemic Diseases; D005260:Female; D005312:Fetal Blood / Q000469:parasitology; D006166:Guatemala / Q000453:epidemiology; D006801:Humans; D007231:Infant, Newborn; D018445:Infectious Disease Transmission, Vertical; D016780:Malaria, Vivax / Q000151:congenital* / Q000453:epidemiology / Q000635:transmission; D018512:Parasitemia / Q000151:congenital / Q000469:parasitology; D010966:Plasmodium vivax / Q000235:genetics / Q000302:isolation & purification; D011159:Population Surveillance; D011247:Pregnancy; D015597:Pregnancy Complications, Parasitic / Q000453:epidemiology / Q000469:parasitology; D055815:Young Adult