An 11-year-old boy with Plasmodium falciparum Malaria and dengue co-infection

Satja Issaranggoon Na Ayuthaya, Anchalee Wangjirapan, Peninnah Oberdorfer

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6 Scopus citations

Abstract

Malaria and dengue fever are major mosquito-borne public health problems in tropical countries. The authors report a malaria and dengue co-infection in an 11-yearold boy who presented with sustained fever for 10 days. The physical examination revealed a flushed face, injected conjunctivae and left submandibular lymphadenopathy. His peripheral blood smear showed few ring-form trophozoites of Plasmodium falciparum. His blood tests were positive for dengue NS-1 antigen and IgM antibody, and negative for IgG antibody. After the initiation of antimalarial treatment with artesunate and mefloquine, his clinical condition gradually improved. However, he still had low-grade fever that persisted for 6 days. Finally, he recovered well without fluid leakage, shock or severe bleeding. This case report emphasises that early recognition and concomitant treatment of malaria and dengue co-infection in endemic areas can improve clinical outcome and prevent serious complications.

Original languageEnglish (US)
Article number202998
JournalBMJ case reports
DOIs
StatePublished - Apr 1 2014

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