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Concurrent meningitis and vivax malaria

Tuhin Santra1, Sumana Datta2, Neha Agrawal1

  • 1Department of Medicine, Calcutta National Medical College and Hospital, Kolkata, India.

Journal of Family Medicine and Primary Care
|March 18, 2016
PubMed

Insights

Concomitant malaria and meningitis infections are rare. This case highlights the need for clinical suspicion to diagnose meningitis in malaria patients whose fever persists despite antimalarial treatment.

Area of Science:

  • Infectious Diseases
  • Tropical Medicine
  • Neurology

Background:

  • Malaria is endemic in India, frequently co-occurring with other infections.
  • Concomitant malaria and meningitis infections are notably uncommon.
  • Prompt diagnosis and treatment are crucial for managing infectious diseases.

Observation:

  • A case of a 24-year-old female presented with symptoms suggestive of meningitis.
  • The patient was diagnosed with Plasmodium vivax malaria.
  • The co-occurrence of malaria and meningitis presented a diagnostic challenge.

Findings:

  • The patient exhibited persistent fever despite initial antimalarial therapy for vivax malaria.
  • Meningitis was diagnosed concurrently with the malaria infection.
  • This case underscores the diagnostic complexity of co-infections.

Implications:

  • Clinicians should maintain a high index of suspicion for co-infections like meningitis in malaria patients with persistent fever.
  • Considering co-infections is vital before attributing persistent symptoms solely to antimalarial drug resistance.
  • Early detection of concomitant infections improves patient outcomes and guides appropriate therapeutic strategies.
Keywords:
Anti-malarialmeningitisvivax malaria

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