Abstract

CARMONA-FONSECA, Jaime  and  ARANGO, Eliana. Mixed malaria: overview. Medicas UIS [online]. 2012, vol.25, n.1, pp.45-54. ISSN 0121-0319.

Background: clinical and epidemiological aspects of mixed plasmodial infection and mixed malaria are poorly understood; in America this information is almost absent. Objective: review information about mixed plasmodial infection and mixed malaria and collect and organize Colombian data. Methodology: different expressions were used to find information in PubMed and Lilacs. Results and conclusions: information retrieved was little, dispersed and difficult to find. Mixed plasmodial infection and mixed malaria frequency is variable and relatively high but is underestimated by microscopy. New plasmodial species often is detected after successful treatment of other species. Plasmodial coinfections are mutually suppressive; P. falciparum dominating on P. vivax and P. vivax attenuating severity of P. falciparum. Clinical and parasitemia of each species in mixed plasmodial infection and mixed malaria are not sufficiently studied; its epidemiological behavior is very variable and depends on transmission intensity and stability, rain cycles, age of patients and anopheline fauna. There is insufficient basis to guide the mixed plasmodial infection and mixed malaria treatment, but it is suggested a simultaneous treatment of the different species. (MÉD.UIS. 2011;25(1):45-54)

Keywords : Malaria; Mixed malaria; Plasmodium; Diagnosis; Immunology; Epidemiology; Symptoms.

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