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Volume 15, Number 4—April 2009
The Amazon Region

Concurrent Dengue and Malaria in Cayenne Hospital, French Guiana

Bernard CarmeComments to Author , Severine Matheus, Gerd Donutil, Olivia Raulin, Antoine Adenis, and Jacques Morvan
Author affiliations: Centre Hospitalier de Cayenne, Cayenne, French Guiana (B. Carme, G. Donutil, O. Raulin, M. Nacher); Institut Pasteur de la Guyane, Cayenne (S. Matheus, J. Morvan); Université Antilles – Guyane, Cayenne (B. Carme, M. Nacher); Institut National de la Santé et de la Recherche Médicale (Inserm), Cayenne (B. Carme, M. Nacher)

Main Article


Clinical course and diagnosis in 17 case-patients with confirmed or suspected concurrent dengue and malaria, Cayenne Hospital, Cayenne, French Guiana, July 2004–June 2005*

Patient no./birth year Malaria diagnosis
Hospitalized† Initial diagnosis and clinical signs Dengue diagnosis
Species Parasitemia
% Class
1/1983 Pv <0.1 C3 No Malaria + DEN-1 ND Confirmed acute concurrent disease
2/1984 Pv 0.15 C4 No Malaria, Tp 51,000 + DEN-3 ND Confirmed acute concurrent disease
3/1973 Pv 0.8 C4 No Malaria + DEN-3 ND Confirmed acute concurrent disease
4/1975 Pf 0.1 C3 No Malaria + DEN-3 ND Confirmed acute concurrent disease
5/1983 Pv 0.1 C3 No Malaria + DEN-3 ND Confirmed acute concurrent disease
6/1980 Pv 0.2 C4 No Malaria, Tp 52,000, Hb 9.4 SeroC ND Confirmed acute concurrent disease
7/1981 Pf <0.1 C1 No Malaria‡ ND DEN-3 Confirmed concurrent infection
8/1953 Pv <0.1 C3 Yes§ Malaria, Tp 71,000 + Suspected concurrent infection
9/1952 Pv 0.8 C4 No Malaria, Tp 30,000, BP 80/50 + Suspected concurrent infection
10/1948 Pv 0.3 C4 No Malaria, Tp 70,000 + Suspected concurrent infection
11/1982 Pv 0.25 C4 No Malaria + Suspected concurrent infection
12/1979 Pf 0.4 C4 Yes¶ Malaria + Suspected concurrent infection
13/1956 Pv 0.5 C4 Yes# Malaria, Tp 63,000, Hb 5.9, Sat 83% + Suspected concurrent infection
14/1976 Pv 0.7 C4 No Malaria + Suspected concurrent infection
15/1988 Pv 0.5 C4 No Malaria, Tp 29,000, BP 90/50 + Suspected concurrent infection
16/1974 Pv 0.1 C3 No Malaria, HR 146 bpm + Suspected concurrent infection
17/1961 Pv <0.1 C2 No Malaria‡ + Suspected concurrent infection

*IgM, immunoglobulin M; RT-PCR, reverse transcription–PCR; Iso, isolate; Pv, Plasmodium vivax; – , negative; + positive; DEN, dengue; ND, not done; Pf, P. falciparum; Tp, thrombocytopenia++ (<100,000 platelets/µL); Hb, hemoglobin (reference range <10 g/L); BP, arterial blood pressure (systolic/diastolic); Sat, blood oxygen saturation; HR, heart rate; bpm, beats per minute.
†Hospitalization >8 hours.
‡Possible asymptomatic carrier of Plasmodium spp.
§For diabetes requiring insulin.
¶For treatment with Riamet (arthemether + lumefantrine).
#For interstitial pneumonia.

Main Article

Page created: December 10, 2010
Page updated: December 10, 2010
Page reviewed: December 10, 2010
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