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Am. J. Trop. Med. Hyg., 73(6), 2005, pp. 1028-1030
Copyright © 2005 by The American Society of Tropical Medicine and Hygiene

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SHORT REPORT


Q FEVER AND PLASMODIUM FALCIPARUM MALARIA CO-INFECTION IN A PATIENT RETURNING FROM THE COMOROS ARCHIPELAGO

PHILIPPE BROUQUI*, JEAN MARC ROLAIN, CEDRIC FOUCAULT, AND DIDIER RAOULT
Service des Maladies Infectieuses et Tropicales, Centre Hospitalier et Universitaire Nord Assistance Publique des Hôpitaux de Marseille, Marseilles, France; Unité des Rickettsies, Centre National de Recherche Scientifique, Unité Mixte de Recherche 6020, Institut Fédératif de Recherche 48, Marseilles, France

 

ABSTRACT

Although Plasmodium falciparum malaria and Q fever are both prevalent in Africa, there have been no reports of co-infection to date. We report a case who returned from the Comoros archipelago diagnosed by serologic analysis as well as detection of Coxiella burnetii DNA in acute-phase serum. Thus, Q fever may be associated with malaria infection in travelers returning from disease-endemic countries. This diagnosis should be considered when the response to malaria treatment is incomplete.

Received February 10, 2005. Accepted for publication March 17, 2005.

Acknowledgments: We thank Anne Kasmar (Department of Infectious Diseases, Massachusetts General Hospital, Boston, MA) for reviewing the English version of this manuscript.

* Address correspondence to Philippe Brouqui, Service des Maladies Infectieuses et Tropicales, CHU Nord AP-HM, Marseilles, France and Unité des Rickettsies, CNRS UMR 6020 IFR 48, Marseilles, France. E-mail: philippe.brouqui{at}medecine.univ-mrs.fr

Authors’ addresses: Philippe Brouqui, Cedric Foucault, and Didier Raoult, Service des Maladies Infectieuses et Tropicales, Centre Hospitalier et Universitaire Nord Assistance Publique des Hôpitaux de Marseille, Marseilles, France and Unité des Rickettsies, Centre National de Recherche Scientifique, Unité Mixte de Recherche 6020, Institut Fédératif de Recherche 48, Marseilles, France, E-mails: philippe.brouqui{at}medecine.univ-mrs.fr, cedric.foucault{at}medecine.univ-mrs.fr, and didier.raoult{at}medecine.univ.mrs.fr. Jean Marc Rolain, Unité des Rickettsies, Centre National de Recherche Scientifique, Unité Mixte de Recherche 6020, Institut Fédératif de Recherche 48, Marseilles, France, E-mail: rolain{at}medecine.univ-mrs.fr.






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