SARS-CoV-2 and Plasmodium falciparum Co-Infection in a Returning Traveler

Since December 2019, the Coronavirus Disease 2019 (COVID-19) pandemic has become a non-neglectable context for the whole healthcare system. Under the background of COVID-19, the detection and diagnosis of malaria cases are under challenge. Here, we reported a COVID-19 and malaria co-infection travel...

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Main Authors: Qian Huang, Wen-Jie Xu, Xiao-Xiao Wang, Xuan Zhang, Ke-Nu Pan, Jia-Qi Zhang, Hua-Liang Chen, Wei Ruan, Li-Nong Yao
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.871374/full
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author Qian Huang
Wen-Jie Xu
Xiao-Xiao Wang
Xuan Zhang
Ke-Nu Pan
Jia-Qi Zhang
Hua-Liang Chen
Wei Ruan
Li-Nong Yao
author_facet Qian Huang
Wen-Jie Xu
Xiao-Xiao Wang
Xuan Zhang
Ke-Nu Pan
Jia-Qi Zhang
Hua-Liang Chen
Wei Ruan
Li-Nong Yao
author_sort Qian Huang
collection DOAJ
description Since December 2019, the Coronavirus Disease 2019 (COVID-19) pandemic has become a non-neglectable context for the whole healthcare system. Under the background of COVID-19, the detection and diagnosis of malaria cases are under challenge. Here, we reported a COVID-19 and malaria co-infection traveler who has a long living history in Cameroon. The case was administered with dihydroartemisinin and piperaquine tablets for malaria, Lopinavir and Ritonavir tablets, Arbidol, recombinant human interferon α-2b and Compound Maxing Yifei mixture for COVID-19, and Zolpidem Tartrate tablets, Diazepam, Paroxetine Hydrochloride tablets, Thymosin α1, and Lianhua Qinwen Jiaonang during the second hospitalization of the patient since the patient has a certain level of anxiety and insomnia with no evidence of inflammatory reactions. After being tested negative two times for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in 48 h, the patient met China's COVID-19 discharge standards and was discharged with stable vital signs and mental state. Since most countries in the sub-Saharan region have a fragile health system, co-infection for both Plasmodium and SARS-CoV-2 may not be uncommon, and raise a challenge in diagnosis, treatment, and prevention for both diseases. We add to the literature on co-infection of P. falciparum malaria and COVID-19 and offer operational advice on diagnosis, prevention, and treatment for the co-infection.
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spelling doaj.art-a28a16a8a3a44fff94c29771d12fa7f92022-12-22T01:40:19ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-08-011010.3389/fpubh.2022.871374871374SARS-CoV-2 and Plasmodium falciparum Co-Infection in a Returning TravelerQian Huang0Wen-Jie Xu1Xiao-Xiao Wang2Xuan Zhang3Ke-Nu Pan4Jia-Qi Zhang5Hua-Liang Chen6Wei Ruan7Li-Nong Yao8Department of Infectious Diseases, Hangzhou Xixi Hospital, Hangzhou, ChinaDepartment of Infectious Diseases, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, ChinaDepartment of Infectious Diseases, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, ChinaDepartment of Infectious Diseases, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, ChinaMedical Laboratory, Xixi Hospital of Hangzhou, Hangzhou, ChinaDepartment of Infectious Diseases, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, ChinaDepartment of Infectious Diseases, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, ChinaDepartment of Infectious Diseases, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, ChinaDepartment of Infectious Diseases, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, ChinaSince December 2019, the Coronavirus Disease 2019 (COVID-19) pandemic has become a non-neglectable context for the whole healthcare system. Under the background of COVID-19, the detection and diagnosis of malaria cases are under challenge. Here, we reported a COVID-19 and malaria co-infection traveler who has a long living history in Cameroon. The case was administered with dihydroartemisinin and piperaquine tablets for malaria, Lopinavir and Ritonavir tablets, Arbidol, recombinant human interferon α-2b and Compound Maxing Yifei mixture for COVID-19, and Zolpidem Tartrate tablets, Diazepam, Paroxetine Hydrochloride tablets, Thymosin α1, and Lianhua Qinwen Jiaonang during the second hospitalization of the patient since the patient has a certain level of anxiety and insomnia with no evidence of inflammatory reactions. After being tested negative two times for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in 48 h, the patient met China's COVID-19 discharge standards and was discharged with stable vital signs and mental state. Since most countries in the sub-Saharan region have a fragile health system, co-infection for both Plasmodium and SARS-CoV-2 may not be uncommon, and raise a challenge in diagnosis, treatment, and prevention for both diseases. We add to the literature on co-infection of P. falciparum malaria and COVID-19 and offer operational advice on diagnosis, prevention, and treatment for the co-infection.https://www.frontiersin.org/articles/10.3389/fpubh.2022.871374/fullCOVID-19Sub-Saharan Africaco-infectionPlasmodium falciparummalariaSARS-CoV-2
spellingShingle Qian Huang
Wen-Jie Xu
Xiao-Xiao Wang
Xuan Zhang
Ke-Nu Pan
Jia-Qi Zhang
Hua-Liang Chen
Wei Ruan
Li-Nong Yao
SARS-CoV-2 and Plasmodium falciparum Co-Infection in a Returning Traveler
Frontiers in Public Health
COVID-19
Sub-Saharan Africa
co-infection
Plasmodium falciparum
malaria
SARS-CoV-2
title SARS-CoV-2 and Plasmodium falciparum Co-Infection in a Returning Traveler
title_full SARS-CoV-2 and Plasmodium falciparum Co-Infection in a Returning Traveler
title_fullStr SARS-CoV-2 and Plasmodium falciparum Co-Infection in a Returning Traveler
title_full_unstemmed SARS-CoV-2 and Plasmodium falciparum Co-Infection in a Returning Traveler
title_short SARS-CoV-2 and Plasmodium falciparum Co-Infection in a Returning Traveler
title_sort sars cov 2 and plasmodium falciparum co infection in a returning traveler
topic COVID-19
Sub-Saharan Africa
co-infection
Plasmodium falciparum
malaria
SARS-CoV-2
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.871374/full
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