Concurrent Presence of Dengue and Plasmodium falciparum

Abstract

The concurrent presence of dengue and P. falciparum malaria is described in a 28-year-old man who presented with a history of sudden onset of fever along with rigor and chills for the last 7 days [Chandigarh, India]. He also gave a history of abdominal pain, vomiting, diarrhoea and passage of dark coloured urine along with loss of appetite for the last 10 days. On the basis of clinical features, a differential diagnosis of malaria, dengue, and hepatitis was made. The patient was put on antipyretics and antimalarial treatment (chloroquine 600 mg stat followed by 300 mg after 8 h and then 300 mg orally daily for 2 days along with 45 mg primaquine). The parasite responded well to the treatment and was discharged in seven days. He was lost on follow-up.