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

<b>Background:</b> Malaria and amoebic infections are considered risk factors for stillbirth and preterm labor, but their coexistence during pregnancy has not been previously reported. <b>Case:</b> We describe the first case of averted maternal mortality with fetal death in utero at 22 weeks' gestation, complicated by both <i>falciparum</i> malaria and hepatic amoebic abscess, in a rural hospital in Burundi. <b>Conclusion:</b> 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.