Open AccessRisk Factors for Imported FatalPlasmodium falciparumMalaria, France, 1996–2003
Author(s) -
Fabrice Legros,
Olivier Bouchaud,
T. Ancelle,
A Arnaud,
Sandrine Cojean,
J. Le Bras,
M. Danis,
Arnaud Fontanet,
Rémy Durand,
Autochthonous Malaria Epidemiology
Publication year - 2007
Publication title -
emerging infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.54
H-Index - 226
eISSN - 1080-6059
pISSN - 1080-6040
DOI - 10.3201/eid1305.060955
Subject(s) - malaria , plasmodium falciparum , case fatality rate , medicine , environmental health , chemoprophylaxis , logistic regression , tropical medicine , demography , immunology , population , surgery , pathology , sociology
International audienceDengue and malaria are two major arthropod-borne infections in tropical areas, but dual infections were only described for the first time in 2005. Reports of these concomitant infections are scarce and there is no evidence of more severe clinical and biological pictures than single infections.To compare co-infections to dengue alone and malaria alone, a retrospective matched-pair study was conducted between 2004 and 2010 among patients admitted in the emergency department of Cayenne hospital, French Guiana.104 dengue and malaria co-infection cases were identified during the study period and 208 individuals were matched in two comparison groups: dengue alone and malaria alone. In bivariate analysis, co-infection clinical picture was more severe than separated infections, in particular using the severe malaria WHO criteria. In multivariate analysis, independent factors associated with co-infection versus dengue were: masculine gender, CRP level > 50 mg/L, thrombocytopaenia < 50 109/L, and low haematocrit <36% and independent factors significantly associated with co-infections versus malaria were red cells transfusion, low haematocrit < 36%, thrombocytopaenia < 50 109/L and low Plasmodium parasitic load < 0.001%.In the present study, dengue and malaria co-infection clinical picture seems to be more severe than single infections in French Guiana, with a greater risk of deep thrombocytopaenia and anaemia