The first reported case of co-infection of imported hepatitis E and Plasmodium falciparum malaria in Sri Lanka
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Date
2023
Journal Title
Journal ISSN
Volume Title
Publisher
Sri Lankan Society for Microbiology
Abstract
Global travel and tourism, especially across tropical countries, may lead to importation of malaria and other infectious diseases into Sri Lanka. This case report describes the first co-infection of imported hepatitis E and Plasmodium falciparum malaria in a tourist diagnosed in Sri Lanka. The patient was initially diagnosed with uncomplicated P. falciparum malaria and was started on treatment with oral Artemisinin-based Combination Therapy (ACT). Deterioration of hepatic enzymes and hyperbilirubinaemia despite the rapid parasitological response to antimalarials led to further investigation and diagnosis of co-infecting hepatitis E in this patient. The importance of clinicians being vigilant on travel associated co-infections is highlighted to ensure early diagnosis and better patient management.
Description
Not Indexed
Keywords
Plasmodium falciparum, Malaria, Hepatitis E, Co-infections, Hyperbilirubinaemia
Citation
Sri Lankan Journal of Infectious Diseases.2023;13(2):E47 1-5