Open AccessHIV Infection Diagnosis in a Late Presenter Patient during a Severe Imported Falciparum Malaria: A Challenging
Author(s) -
Eugenia Pistarà,
Andrea Marıno,
Manuela Ceccarelli,
Federica Cosentino,
Vittoria Moscatt,
Maria Gussio,
Cristina Micali,
Giuseppe Nunnari,
Bruno Cacopardo,
Benedetto Maurizio Celesia
Publication year - 2022
Publication title -
open access macedonian journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.288
H-Index - 17
ISSN - 1857-9655
DOI - 10.3889/oamjms.2022.8671
Subject(s) - medicine , malaria , superinfection , coinfection , plasmodium falciparum , immunosuppression , human immunodeficiency virus (hiv) , severe malaria , pediatrics , intensive care medicine , immunology , surgery , virus
BACKGROUND: Malaria and HIV share the same epidemiological spreading and coinfection may be clinically challenging. In 2019, nearly all malaria cases reported by EU/EEA countries were imported. Severe falciparum malaria is a medical emergency often associated with poor outcome, even when treated with appropriate therapy. CASE PRESENTATION: Here, we described an unusual case of a late presenter HIV diagnosis made during the management of a severe falciparum malaria in an Italian traveler returning from Nigeria, who did not take antimalaria prophylaxis. Clinical course was complicated by the occurrence of several superinfections caused by deep immunosuppression, and bilateral subsegmental pulmonary embolism. CONCLUSION: Although critical conditions, malaria prompt diagnosis and treatment, along with HIV diagnosis and the successful treatment of occurred superinfection, resulted in a positive outcome.