Abstract
Malaria and lymphatic filariasis (LF) are endemic in tropical and subtropical regions of sub-Saharan Africa, Asia, and Central and South America. Ninety-two percent (200 million) of malaria cases in 2017 were detected in the WHO African Region. This accounts for approximately 30% of the global burden of LF disease and includes 405.9 million people at risk in 39 out of 46 member countries. Anopheles species of mosquitoes transmit Wuchereria bancrofti in most parts of Africa. Our case of a 23-year-old Nigerian woman highlights incidental laboratory findings showing the first malaria/filariasis coinfection in the governorate (province). This coinfection was ascertained during the usual medical screening before recruitment in Oman, which is routinely conducted for every expatriate.
Highlights
Mohammed Dawood Al Balushi, Nader Rahid Salim Al Aliyani, Biju Kalarikkal, Reeher Ian C
The case reported that the patient was ly brought in a state of altered sensorium with complaints of fever and chills for 3 days and n hepatosplenomegaly.[7] o Our case highlights incidental concomitant infection of lymphatic filariasis (LF) with falciparum malaria e in a Nigerian woman, who came to Oman s for the first time from a high-endemic area. u The patient had onset for fever and headache for 2 days before her arrival to l Oman, for which she was tested for malaria. ia Other laboratory parameters including full c blood count and biochemistry were within r normal range
There is a need for careful research on co-infection with malaria cases after the arrival of people from their country of origin, especially from areas with high endemicity for helminthic diseases
Summary
Five countries: Nigeria (25%), Democratic Republic of the Congo (11%), Mozambique (5%), India (4%) and Uganda (4%) accounted for nearly half of all malaria cases worldwide. In June 2019, a 23-year-old female housemaid underwent screening at the Medical Fitness and Examination Center in the Al Buraimi Governorate (Province) in Oman, after arriving from her home country Nigeria [endemic for filariasis and malaria under Mass Drug Administration (MDA). The patient presented with a mild fever and headache from 2 days before arriving in Oman. She had left lower limb mild intermittent pain since few months. The patient had previous history falciparum, as well as the WHO regions of of malaria in the last months of 2018
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