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Órgano Oficial de la Sociedad
Latinoamericana de lnfectología Pediátrica.
Órgano de la Asociación Mexicana de
Infectología Pediátrica, A.C.
Órgano difusor de la Sociedad Española
de lnfectología

2024, Number 3

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Rev Latin Infect Pediatr 2024; 37 (3)

Malaria and co-infection with dengue and SARS-CoV-2: report of three clinical cases

Hincapié GPA, Mandegari E

Language: Spanish
References: 15
Page: 135-142
PDF size: 308.85 Kb.


ABSTRACT

Introduction: in Honduras, an endemic country for dengue and malaria, co-infections are underreported but present potentially more severe clinical pictures than individual infections. In 2019, SARS-CoV-2 joined the picture, sharing similar symptoms with Malaria, such as fever and respiratory distress. This can lead to misdiagnosis, especially when they occur simultaneously in a patient, challenging their medical management. Dengue, also endemic, shares febrile symptoms and can lead to serious complications. This clinical similarity makes differential diagnosis difficult. Clinical cases: Case #1: a 12-year-old patient presented to the Roatan Hospital with a fever of four days of evolution, accompanied by diaphoresis, general malaise, chills and an episode of vomiting. Case #2: A nine-year-old female patient from Roatán, Bay Islands, Honduras, presented to the Hospital de Roatán with a fever of five days of evolution, accompanied by diaphoresis, general malaise, chills, headache and four episodes of vomiting. Case #3: An 11-year-old patient presented to the Roatan Hospital with a three-day history of fever, daily presentation, general malaise, hyporexia, headache, nausea, and two episodes of vomiting. Conclusion: malaria, dengue and SARS-CoV-2 highlight the importance of early diagnosis to improve prognosis, given the potential severity of these diseases. Effective management requires diverse approaches due to associated complications. This report underscores the need for expanded clinical suspicion and appropriate diagnostic testing to differentiate these infectious diseases.


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