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J Med Virol ; 93(6): 3350-3361, 2021 06.
Article in English | MEDLINE | ID: mdl-33325045

ABSTRACT

This study aimed at evaluating the seroprevalence of dengue among malarious patients consulting at the Ngaoundere Regional Hospital. During 2 months and a half, 174 participants were recruited and their blood samples were screened for Plasmodium spp and then for Dengue virus (DENV) infection using rapid diagnostic tests. Also, hematological asparameters were measured using a hematology autoanalyzer. Among patients tested, 134 (77.01%) were malaria-positive, and 12/134 (8.95%) were coinfected. In this population, 8/12 (66.67%) were only anti-DENV IgM-positive, 3/12 (25%) were both NS1 and anti-DENV IgM positive, and 1/12 (8.33%) were anti-DENV IgG-positive. Furthermore, women were more affected (58.3%) than men (41.7%). The most affected age groups were young people aged less than or equal to 15 years (33.3%) and adults aged between 30 and 45 years (33.3%). A significant association (p < .05; odds ratio [OR] = 5.16) was found between the age range (30-45) and dengue-malaria coinfection. Similarly, we noted a significant association between the coinfection, and joint pain (p < .05; OR = 6.15), fatigue (p < .01; OR = 5.74), and chills (p < .05; OR = 0). Analysis of hematologic parameters showed a significant decrease (p < .001) in platelets in coinfected patients compared with monoinfected patients. In conclusion, dengue-malaria coinfection is a reality in Ngaoundere city and associated with the appearance of clinical features which predict the disease severity.


Subject(s)
Coinfection/parasitology , Coinfection/virology , Dengue/epidemiology , Fever/parasitology , Fever/virology , Malaria/epidemiology , Adolescent , Adult , Aged , Aged, 80 and over , Antibodies, Viral/blood , Cameroon/epidemiology , Child , Child, Preschool , Coinfection/epidemiology , Cross-Sectional Studies , Dengue/blood , Dengue/immunology , Female , Humans , Infant , Malaria/blood , Malaria/immunology , Male , Middle Aged , Qualitative Research , Seroepidemiologic Studies , Sex Factors , Young Adult
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