Partial hydatidiform mole with a live foetus in an HIV-positive mother: case report
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Abstract
The aim of that study is to describe a case of partial hydatidiform mole with a live fetus in an HIV mother.
It about a patient, 30-year-old primiparous, living with HIV on antiretrovirals, who had experienced four spontaneous abortions prior to this pregnancy. No symptoms suggestive of trophoblastic disease had been reported. With an initial undetectable viral load and a CD4 count of 283 cells/μL, no human chorionic gonadotropin assay had been performed. No obstetrical ultrasound was performed during the course of her pregnancy. She developed anemia at 9.7g/dl after delivery. She had given birth at 36 weeks' gestation by vaginal delivery to a live male baby weighing 2100g, of normal morphology with APGAR 6/10/10. The baby was put on nevirapine prophylaxis from birth. Anatomopathological report of the placenta was compatible with partial hydatidiform mole.
This was an incidental finding after pathological examination of the placenta. This case of partial hydatidiform mole with a live fetus had escaped all clinical and paraclinical investigations.
There is a need to examine the placentas of all women with a history of spontaneous abortion and/or HIV-positive pregnancies.
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References
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