Dengue and malaria coinfection: the first case report in Nepal.


Journal

Oxford medical case reports
ISSN: 2053-8855
Titre abrégé: Oxf Med Case Reports
Pays: England
ID NLM: 101642070

Informations de publication

Date de publication:
Mar 2022
Historique:
received: 14 11 2021
revised: 05 01 2022
accepted: 12 01 2022
entrez: 23 3 2022
pubmed: 24 3 2022
medline: 24 3 2022
Statut: epublish

Résumé

A 21-year-old male from Nepal, with a history of travel to Mumbai 2 months ago, presented with fever with chills and rigors, vomiting and multiple joint pain for 1 week. Clinical examination was noteworthy for tachycardia, hypotension and positive tourniquet test. Lab reports showed NS1-Ag positive, thrombocytopenia, lymphocytosis, transaminesemia, hyperbilirubinemia, increased urea and creatinine. He was treated for severe dengue. His laboratory parameters started improving; however, he had fever with chills and rigors daily and persistent vomiting. Repeat peripheral smear for Malaria showed schizonts and trophozoites of Plasmodium vivax. He recovered following treatment with IV fluids and injection artesunate. The presence of fever even in a critical phase of dengue, the typical rise of temperature daily, and jaundice gave a clue of coinfection with Malaria. On follow-up, after 2 weeks, he had no symptoms, and all the laboratory parameters were normal.

Identifiants

pubmed: 35317002
doi: 10.1093/omcr/omac022
pii: omac022
pmc: PMC8931811
doi:

Types de publication

Case Reports

Langues

eng

Pagination

omac022

Informations de copyright

© The Author(s) 2022. Published by Oxford University Press.

Références

Rev Soc Bras Med Trop. 2010 Sep-Oct;43(5):508-11
pubmed: 21085859
PLoS Negl Trop Dis. 2014 Oct 23;8(10):e3239
pubmed: 25340346
Lancet Infect Dis. 2013 Oct;13(10):900-6
pubmed: 23809889
PLoS One. 2021 Jun 25;16(6):e0253556
pubmed: 34170955
BMJ. 2018 Nov 29;363:k4766
pubmed: 30498133
Asian Pac J Trop Biomed. 2011 Aug;1(4):326-7
pubmed: 23569785

Auteurs

Arun Gautam (A)

Internal Medicine, B.P. Koirala Institute of Health Sciences, Dharan 56700, Nepal.

Ujjwal Aryal (U)

Internal Medicine, B.P. Koirala Institute of Health Sciences, Dharan 56700, Nepal.

Sudeep Bhandari (S)

Internal Medicine, B.P. Koirala Institute of Health Sciences, Dharan 56700, Nepal.

Saugat Pradhan (S)

Microbiology, B.P. Koirala institute of Health sciences, Dharan 56700, Nepal.

Urza Bhattarai (U)

Geriatric Medicine, All India Institute of Medical Sciences, New Delhi 110029), India.

Akshat Mishra (A)

Internal Medicine, B.P. Koirala Institute of Health Sciences, Dharan 56700, Nepal.

Sanjib Kumar Sharma (SK)

Internal Medicine, B.P. Koirala Institute of Health Sciences, Dharan 56700, Nepal.

Classifications MeSH