Boonyarangka Parat, Phontham Kittijarankon, Sriwichai Sabaithip, Poramathikul Kamonporn, Harncharoenkul Krit, Kuntawunginn Worachet, Maneesrikhum Napat, Srisawath Sarayouth, Seenuan Chanida, Thanyakait Chattakorn, Inkabajan Kanjana, Pludpiem Suda, Pidtana Kingkan, Demons Samandra, Vesely Brian, Wojnarski Mariusz, Griesenbeck John S, Spring Michele
Department of Bacterial and Parasitic Diseases, US Army Armed Forces Research Institute of Medical Sciences, Bangkok 10400, Thailand.
Suan Phueng Hospital, Ratchaburi 70180, Thailand.
Trop Med Infect Dis. 2022 Jul 22;7(8):145. doi: 10.3390/tropicalmed7080145.
With the emergence of SARS-CoV-2, healthcare systems not only had to address the pressing clinical needs of the COVID-19 pandemic but anticipate the effect on and of other conditions and diseases. This was of particular concern in areas of the world endemic with malaria, a disease which takes hundreds of thousands of lives each year. This case report from Thailand describes a 25-year-old man diagnosed with , who was then found to be co-infected with COVID-19. Both conditions can have overlapping acute febrile illness symptoms which may delay or complicate diagnoses. He had no prior history of malaria and had received two vaccinations against COVID-19. His clinical course was mild with no pulmonary complications or oxygen requirement, and he responded well to treatments for both conditions. Three months after cure, he again contracted COVID-19 but did not experience any relapse. Review of the available literature produced less than 10 publications describing co-infections with and COVID-19; nonetheless, in endemic areas, vigilance for both diseases should continue, as co-infections could significantly alter the course of clinical management and prognosis as well as affect the healthcare staff caring for these patients.
随着严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的出现,医疗系统不仅要应对2019冠状病毒病(COVID-19)大流行带来的紧迫临床需求,还要预测其对其他病症和疾病的影响以及其他病症和疾病所产生的影响。在疟疾流行的世界各地区,这一问题尤为令人担忧,疟疾每年导致数十万人死亡。这份来自泰国的病例报告描述了一名25岁男子被诊断感染[疟疾名称未给出],随后被发现同时感染了COVID-19。这两种病症可能有重叠的急性发热性疾病症状,这可能会延迟诊断或使诊断复杂化。他既往无疟疾病史,并且已经接种了两剂COVID-19疫苗。他的临床病程较轻,没有肺部并发症,也不需要吸氧,并且对两种病症的治疗反应良好。治愈三个月后,他再次感染了COVID-19,但没有出现任何复发情况。对现有文献的回顾发现,描述[疟疾名称未给出]与COVID-19合并感染的出版物不到10篇;尽管如此,在流行地区,对这两种疾病仍应保持警惕,因为合并感染可能会显著改变临床管理和预后的进程,以及影响护理这些患者的医护人员。