Clinical Profile of Co-Infections and Bacterimia in Adults with Malaria – An Experience from a Tertiary Care Hospital in Northeastern India.
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Date
2015-05
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Abstract
Bacterial co-infection associated with malaria is
potentially important but poorly documented. Published
reports are mainly from African children while data from
adult Indian population are limited.
To determine the spectrum of concurrent bacterial
infection in malaria the present study was conducted in
department of Medicine at Tripura Medical College.
Out of eighty patients, 58 had falciparum, 15 had dual
infection and 7 had vivax malaria. Blood culture failed to
confirm bacteraemia in any sample with the exception of
one case of complicated malaria showing the growth of
Escherichia Coli. Urine culture also grew Escherichia Coli
in 2.5% of enrolled patients. Anti salmonella IgM antibody
was detected in 7.5% of the study population. Sputum
culture was positive of streptococcus pneumoniae in single
patient with radiological evidence of consolidation. CSF
culture was sterile in cases with cerebral malaria.
Thus the present study shows that bacteraemia is
uncommon in adults with malaria compared to children of
endemic areas. Presence of other co-existent infections
should be sought in clinically suspected cases only. We
propose a restrictive antibiotic policy in the setting of
malaria.
Description
Keywords
malaria, bacterial co-infection
Citation
Chakrabarti Debaprasad, Saha Soma , Trivedi Anindya Sundar, Bhattacharyya A. K. Clinical Profile of Co-Infections and Bacterimia in Adults with Malaria – An Experience from a Tertiary Care Hospital in Northeastern India. Indian Medical Gazette. 2015 May; 149(5): 174-178.