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

PHILIPPE BROUQUI Service des Maladies Infectieuses et Tropicales, Centre Hospitalier et Universitaire Nord Assistance Publique des HoĢ‚pitaux de Marseille, Marseilles, France; Unité des Rickettsies, Centre National de Recherche Scientifique, Unité Mixte de Recherche 6020, Institut Fédératif de Recherche 48, Marseilles, France

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JEAN MARC ROLAIN Service des Maladies Infectieuses et Tropicales, Centre Hospitalier et Universitaire Nord Assistance Publique des HoĢ‚pitaux de Marseille, Marseilles, France; Unité des Rickettsies, Centre National de Recherche Scientifique, Unité Mixte de Recherche 6020, Institut Fédératif de Recherche 48, Marseilles, France

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CEDRIC FOUCAULT Service des Maladies Infectieuses et Tropicales, Centre Hospitalier et Universitaire Nord Assistance Publique des HoĢ‚pitaux de Marseille, Marseilles, France; Unité des Rickettsies, Centre National de Recherche Scientifique, Unité Mixte de Recherche 6020, Institut Fédératif de Recherche 48, Marseilles, France

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DIDIER RAOULT Service des Maladies Infectieuses et Tropicales, Centre Hospitalier et Universitaire Nord Assistance Publique des HoĢ‚pitaux de Marseille, Marseilles, France; Unité des Rickettsies, Centre National de Recherche Scientifique, Unité Mixte de Recherche 6020, Institut Fédératif de Recherche 48, Marseilles, France

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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.

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