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Am. J. Trop. Med. Hyg., 75(1), 2006, pp. 182-185
Copyright © 2006 by The American Society of Tropical Medicine and Hygiene

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A CASE OF FATAL PLASMODIUM FALCIPARUM MALARIA COMPLICATED BY ACUTE DENGUE FEVER IN EAST TIMOR

DAVID IAN WARD*
Department of Emergency Medicine, Nambour General Hospital, Nambour, Queensland, Australia

A case is reported of a seven-year-old girl who had concurrent infections with Plasmodium falciparum malaria and dengue in a remote area of East Timor. The diagnosis of malaria was delayed because of two false-negative results with malaria rapid diagnosis test cards. Diagnosis was eventually made on microscopic examination of the patient’s blood. Despite treatment, the patient subsequently died. This case serves as a reminder of the fallibility of rapid diagnostic tests, and the importance of examining the patient’s blood microscopically if malaria is suspected.

Received March 8, 2006. Accepted for publication March 20, 2006.

Acknowledgments: I thank Dr Peter Leggat (School of Public Health and Tropical Medicine, James Cook University, Townsville, Queensland, Australia) for comments and advice. The American Committee on Clinical Tropical Medicine and Travelers’ Health (ACCTMTH) assisted with publication expenses.

* Address correspondence to David Ian Ward, Department of Emergency Medicine, Nambour General Hospital, PO Box 547, Nambour, Queensland 4560, Australia. E-mail: David_Ward{at}health.qld.gov.au

Author’s address: David Ian Ward, Department of Emergency Medicine, Nambour General Hospital, PO Box 547, Nambour, Queensland 4560, Australia, Telephone: 61-7-5470-6600, Fax: 61-7-5470-6795, E-mail: David_Ward{at}health.qld.gov.au.






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Copyright © 2006 by the American Society of Tropical Medicine and Hygiene.