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Correlation of measles and dengue infection in Kassala, Eastern Sudan
Tajeldin M Abdalla1, Mubarak S Karsany, AbdelAziem A Ali
1Faculty of Medicine, Kassala University, Kassala, Kassala, Sudan.
Abstract:
Using the clinical case definition adopted by the World Health Organization, a total of 275 suspected cases of measles were enrolled in this study during January-March 2012 in Kassala Teaching Hospital, Eastern Sudan. Various clinical manifestations (fever, headache, cough, coryza, conjunctivitis, skin rash, vomiting, diarrhoea, convulsion, and hemorrhagic manifestations) were reported among these patients. Blood was withdrawn from the first 64 (23.3%) patients. Two samples were hemolyzed and only 60 samples (21.8%) were investigated for measles and dengue IgM antibodies. Antibodies for measles, dengue, and co-infection were detected in the plasma of 12 (20%), seven (11.7%), and 10 (16.7%) samples, respectively. Although there was no significant difference in age, residence, occupation, and vaccination status among the different groups, a high proportion of male patients (P = 0.011), severe cases (P = 0.004), and death ((P = 0.001) were reported among co-infected cases.
Insights
Measles and dengue co-infection was studied in Sudan, revealing higher rates of severe illness and death in co-infected male patients. This highlights the need for targeted interventions in vulnerable populations.
Area of Science:
- Epidemiology
- Infectious Diseases
- Public Health
Background:
- Measles outbreaks pose significant public health challenges, particularly in resource-limited settings.
- Co-infections with other viral diseases can complicate clinical presentation and outcomes.
- Understanding the epidemiology of measles and potential co-infections is crucial for effective control strategies.
Purpose of the Study:
- To investigate suspected measles cases in Eastern Sudan.
- To determine the prevalence of measles and dengue IgM antibodies, and co-infection.
- To analyze clinical manifestations and risk factors associated with measles and dengue co-infection.
Main Methods:
- Clinical case definitions from the World Health Organization were used.
- 275 suspected measles cases were enrolled from January-March 2012.
- IgM antibodies for measles and dengue were tested in 60 patient samples.
Main Results:
- Measles antibodies detected in 20% of samples, dengue in 11.7%, and co-infection in 16.7%.
- Co-infected cases showed a higher proportion of males, severe illness, and mortality.
- No significant differences in age, residence, occupation, or vaccination status were observed between groups.
Conclusions:
- Measles and dengue co-infection is a concern in Eastern Sudan.
- Co-infection is associated with increased severity and mortality, particularly in males.
- Further research and targeted public health interventions are warranted.
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