Abstract
Malaria and dengue are the most prevalent vector-borne infections in the world. The clinical manifestations of the two pathologies are similar which may complicate the diagnosis of concurrent dengue and malaria. Coinfection causes a clinical picture of greater severity taking into account the proinflammatory state with capillary leakage and alteration of the glucocalix that is triggered. We present the case of an adult patient with coinfection due to malaria and dengue who is also diagnosed with tuberculosis and required management in the intensive care unit due to multiorgan failure.
Highlights
IntroductionMalaria (caused by parasites of the genus Plasmodium) and Dengue (caused by DENV 1-4 serotypes of dengue virus) are pathologies with a high incidence in tropical countries, and with diverse clinical manifestations that range from mild nonspecific symptomatology to distributive shock and multiple organic failures [1, 2]
Malaria and Dengue are pathologies with a high incidence in tropical countries, and with diverse clinical manifestations that range from mild nonspecific symptomatology to distributive shock and multiple organic failures [1, 2]
Arch Clin Med Case Rep 2018; 2 (3): 82-89 of cases that have affirmed the relationship between malaria, chemotherapy, HIV infection and fungal infections [39]; all of which are indispensable factors in generating greater hemodynamic compromise and greater organ damage in the context of a confection of two pathologies transmitted by arboviruses
Summary
Malaria (caused by parasites of the genus Plasmodium) and Dengue (caused by DENV 1-4 serotypes of dengue virus) are pathologies with a high incidence in tropical countries, and with diverse clinical manifestations that range from mild nonspecific symptomatology to distributive shock and multiple organic failures [1, 2]. Arch Clin Med Case Rep 2018; 2 (3): 82-89 of cases that have affirmed the relationship between malaria, chemotherapy, HIV infection and fungal infections [39]; all of which are indispensable factors in generating greater hemodynamic compromise and greater organ damage in the context of a confection of two pathologies transmitted by arboviruses. The following case report is an example of multiorgan failure related to malaria and dengue confection in a patient with primary pulmonary tuberculosis
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