Case reports Co-infection of malarial & fialarial parasite in a febrile patient in Non-endemic area – a case report : Double parasite infection a case report

Dr Shramika M. Naik; Dr. Harsha Jaykar; Dr. Vikas Dinesh Pathak; Dr. Smita P. Bhide

Authors

Dr Shramika M. Naik MAEER’s Maharashtra Institute of Medical Education and Research (M.I.M.E.R.) and Dr. B.S.T.R. Hospital Talegaon Dabhade, Pune, India.
Dr. Harsha Jaykar MAEER’s Maharashtra Institute of Medical Education and Research (M.I.M.E.R.) and Dr. B.S.T.R. Hospital Talegaon Dabhade, Pune, India
Dr. Vikas Dinesh Pathak MAEER’s Maharashtra Institute of Medical Education and Research (M.I.M.E.R.) and Dr. B.S.T.R. Hospital Talegaon Dabhade, Pune, India
Dr. Smita P. Bhide MAEER’s Maharashtra Institute of Medical Education and Research (M.I.M.E.R.) and Dr. B.S.T.R. Hospital Talegaon Dabhade, Pune, India

Keywords:

Fever, Mosquito borne disease, Non endemic area, Malaria, Microfilaria

Abstract

Background - Malaria and Lymphatic filariasis (LF), both are mosquito borne diseases caused by different vectors. Malaria is caused by five different species of malarial parasite, most commonly caused by Plasmodium vivax whereas filarial infection is most commonly caused by Wuchereria bancrofti. In early stages filariasis remain undiagnosed because of asymptomatic nature.

Case description- A 27 year old male patient migrant labourer by occupation was admitted to medicine ward with chief complaint of fever, bodyache, headache and loss of appetite. Hemogram revealed normocytic normochromic anemia. White blood cell count was within normal range and differential count showed no eosinophilia. The platelet count was mildly reduced. Peripheral smear showed ring forms and schizonts of Plasmodium vivax. Plasmodium vivax infection was also confirmed by rapid diagnostic test. A careful search revealed microfilaria of W. bancrofti species on peripheral smear examination and on wet mount. Conclusion- Co-infection with infectious agents can result into overlapping symptom of fever. Hence, high-index of suspicion should be kept in mind and proper history of travel should also be taken in non-endemic area.

References

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Case reports Co-infection of malarial & fialarial parasite in a febrile patient in Non-endemic area – a case report

Double parasite infection a case report

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