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Association of Dengue Virus and Leptospira Co-Infections with Malaria Severity

by Kodan, Parul , Kaur, Charandeep , Pandey, Shivam , Mandage, Rajendra , Soneja, Manish , Kumar, Vinod , Pramanik, Atreyi , Singh, Adarsh , Acharya, Pragyan , Saha, Sounak , Wig, Naveet , Pandey, Ravindra Mohan

in Analysis / Antimicrobial agents / Association of Dengue Virus and / Co-Infections with Malaria Severity / Coinfection - epidemiology / Dengue - complications / Dengue - diagnosis / Dengue - epidemiology / Dengue fever / Dengue Virus / Deoxyribonucleic acid / Diagnostic tests / DNA / Drug resistance / EDTA / Gram-negative bacteria / Health aspects / Humans / India / Infection / Infections / Leptospira / Malaria / Malaria - complications / Malaria - diagnosis / Malaria - epidemiology / microbiology / Microscopy / Parasites / parasitology / Pathogens / Patients / plasmodium / severe malaria / Tropical diseases / Typhoid / Vaccines / Vector-borne diseases / Viral infections

2020

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Association of Dengue Virus and Leptospira Co-Infections with Malaria Severity

2020

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Association of Dengue Virus and Leptospira Co-Infections with Malaria Severity

2020

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Journal Article

Association of Dengue Virus and Leptospira Co-Infections with Malaria Severity

Kodan, Parul,

Kaur, Charandeep,

Pandey, Shivam,

Mandage, Rajendra,

Soneja, Manish,

Kumar, Vinod,

Pramanik, Atreyi,

Singh, Adarsh,

Acharya, Pragyan,

Saha, Sounak,

Wig, Naveet,

Pandey, Ravindra Mohan

2020

Overview

Plasmodium infections are co-endemic with infections caused by other agents of acute febrile illnesses, such as dengue virus (DENV), chikungunya virus, Leptospira spp., and Orientia tsutsugamushi. However, co-infections may influence disease severity, treatment outcomes, and development of drug resistance. When we analyzed cases of acute febrile illness at the All India Institute of Medical Sciences, New Delhi, India, from July 2017 through September 2018, we found that most patients with malaria harbored co-infections (Plasmodium mixed species and other pathogens). DENV was the most common malaria co-infection (44% of total infections). DENV serotype 4 was associated with mild malaria, and Leptospira was associated with severe malaria. We also found the presence of P. knowlesi in our study population. Therefore, in areas with a large number of severe malaria cases, diagnostic screening for all 4 DENV serotypes, Leptospira, and all Plasmodium species should be performed.

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Publisher

U.S. National Center for Infectious Diseases,Centers for Disease Control and Prevention

Subject

Analysis

/ Antimicrobial agents

/ Association of Dengue Virus and

/ Co-Infections with Malaria Severity

/ Coinfection - epidemiology

/ Dengue - complications

/ Dengue - diagnosis