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Volume 15, Number 4—April 2009
THEME ISSUE
The Amazon Region
Dispatches

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

Table

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
 Conclusion
Species Parasitemia
 IgM RT-PCR Iso
% 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
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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