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Table 2 Matched bivariate analysis between co-infected patients and pure malaria infected patients

From: Is dengue and malaria co-infection more severe than single infections? A retrospective matched-pair study in French Guiana

Results n (%)

Co-infection

(n = 104)

Malaria

(n = 208)

p**

Males

75 (72.1)

162 (77.9)

0.26

Children (<15 years-old)

11 (10.6)

18 (8.7)

0.58

Journey in forest

26 (25)

51 (24.6)

0.96

Inhabitant of the coast ¥

86 (83.5)

151 (74.4)

0.11

Long admission (≥2 days)

43 (41.3)

72 (34.6)

0.25

Admission

37 (35.6)

69 (33.2)

0.67

Medical history of malaria

52 (50)

115 (62.8)

0.02§

Time since last malaria attack < 90 days

19 (55.9)

49 (51.6)

0.91

Medical history of dengue

3 (3.4)

16 (9)

0.08§§

Duration of fever > 5 days

48 (48.5)

61 (29.9)

0.001§

Red cells transfusion

8 (7.7)

3 (1.4)

0.01§

Tachycardia (>90 bpm)

79 (79)

165 (82.1)

0.64

Hypotension (<90 mmHg)

10 (10.4)

7 (3.6)

0.01§

Fever ≥ 40°C

15 (14.7)

24 (11.9)

0.47

Retro-orbital pain

4 (3.9)

10 (5)

0.61

Chills

36 (35.6)

64 (32.2)

0.7

Hemorrhagic signs

12 (11.5)

25 (12.4)

0.81

Shock signs

7 (6.8)

8 (4)

0.16§§

Rash

1 (1)

5 (2.5)

0.4

Nausea and / or vomiting

58 (56.9)

93 (45.8)

0.06§§

Neurological disorders

7 (6.8)

5 (2.5)

0.08§§

Dehydration

7 (7.4)

10 (5)

0.37

Mucocutaneous pallor

11 (11.6)

7 (3.5)

0.02§

Splenomegaly

9 (12.3)

23 (18.3)

0.08§

Mucocutaneous jaundice

9 (8.7)

9 (4.3)

0.14§§

ENT symptoms

6 (5.8)

10 (4.8)

0.72

Severe “malaria” cases††

34 (32,7)

39 (18,7)

0,007

Low parasitaemia (class < 3)

20 (19.2)

24 (11.5)

0.08§§

Mildly low hemoglobin (<12 g/dl)

37 (35.6)

43 (20.7)

0.05§§

Low hematocrit (<36%)

43 (41.3)

49 (23.6)

0.002§

Deep thrombocytopenia (<50 G/L)

23 (22.1)

25 (12)

0.02§

Low prothrombin (<70%)

14 (21.2)

22 (15.4)

0.33

Hyponatremia (<130)

7 (7.1)

15 (7.4)

0.87

Hypokalemia (<3)

6 (6.1)

15 (7.4)

0.67

Elevated creatinin (>111 μmol/L)

4 (4)

14 (7)

0.29

Elevated bilirubin (>50 μmol/L)

16 (16.8)

20 (10.5)

0.06

SGPT (>2 N)

10 (10.2)

33 (16.7)

0.16§

SGOT >2 N

13 (13.3)

23 (11.6)

0.66

CRP <5

2 (2)

1 (0.5)

0.22

  CRP 5 à 50

29 (29)

78 (38)

-

  CRP > 50

69 (69)

126 (61.5)

-

  1. * p calculated with Wald test in matched bivariate analysis.
  2. § Significant p-values < 0.05.
  3. §§p-values < 0.2 included in the matched multivariate model.
  4. bpm Beats per minute.
  5. ¥ Inhabitants of the coast are defined as people living in Cayenne, Rémire-Montjoly, Matoury Macouria, Kourou, Irakoubo or Mana.; Other people declared to live in Cacao, Roura, Montsinnéry-Tonnégrande, Régina, Saül, St-Elie, Saint Laurent du Maroni, Apatou, Maripasoula, Papaïchton, St George de l’Oyapock, Camopi or Trois-Sauts. 4 people came from France, 1 from the French Caribbean and 1 from French Polynesia.
  6. †† WHO 2000 criteria for severe P. falciparum malaria
  7. ENT Ear, Nose and Throat, SGPT Serum Glutamopyruvate Transferase, SGOT Serum Glutamooxaloacetate Transférase, CRP C-reactive protein.