Introduction: Malaria and dengue fever are the most prevalent vector-borne diseases in tropical areas and represent major public health problems. They are transmitted by mosquito namely Anopheles and Aedes aegypti, respectively. Hodeidah is a high density with these vectors. Also, co-infection of these diseases has (malaria and dengue) become undetected due to lack of suspicious clinical suspicion and overlapping symptoms. Aim of the Study:The study aimed to detect the prevalence of co-infection with malaria and dengue fever, determine the clinical presentation within febrile patients in Hodeidah city and determine some potential risk factors associated with co-infection. Methods: A cross-sectional study was conducted (from January to December 2017) in febrile patients. All patients were designed into three groups: Group A (co-infected with malaria and dengue); Group B (malaria as mono-infection) and Group C (dengue as mono-infection). The diagnosis of malaria was by microscopic and rapid diagnostic test (RDT) and the dengue virus was Al-Areeqi et al.; IJTDH, 40(3): 1-10, 2019; Article no.IJTDH.54064 2 detected using enzyme-linked immunosorbent assay (ELISA). The diagnosis was performed in Center of Tropical Medicine and Infectious Diseases (CTMID), Authority of AL-Thawra Public Hospital-Hodeidah, in collaboration with the Tihama Foundation for Medical-Pharmaceutical Studies and Research (TFMPSR), Hodeidah, Yemen. Results: Out of 270 febrile patients, 82 cases (30.4%) patients were malaria -dengue coinfection, 100 cases (37.0%) of malaria, 21 cases (7.7%) of dengue and 67 cases (24.8%) were non-malaria and non-dengue. The most common symptoms were fever, headache, arthralgia, myalgia and retro-orbital pain, where the clinical symptoms of co-infected patients were more like dengue than malaria. One death was reported in malaria -dengue coinfection, with a case fatality rate (CFR%) of 1.2% (1/82). Conclusion: Our results show a high prevalence of malaria -dengue coinfecion in Hodeidah, Yemen as the first time. These due to a high density of vectors in this region and endemic areas for malaria and dengue. Furthermore, surveillance strategies, preventive measures and healthcare worker's education are critical for curtailing this problem and lifesaving. Original Research Article
Introduction: West Nile Virus (WNV) infection is an important arthropod-borne zoonosis viral disease. This virus is neglected in Yemen especially in Hodeidah. Aim of the Study: The purpose of this study was to detect WNV infection, determine the epidemiological and clinical characteristics within febrile patients in Hodeidah city and to determine some risk factors associated with WNV infection. Materials and Methods: 136 febrile patients in a hospital base study were diagnosed in Center of Tropical Medicine and Infectious Diseases (CTMID), Authority of General Al-Thawara Hospital, Hodeidah, Yemen from January of 2017 to December of 2017. WNV infection was detected by enzyme linkage immune sorbent assay (ELISA) on serum samples. Results and Discussion: The results showed that 5 cases (3.67%) were WNV – positive namely IgM that was detected in winter and spring seasons, the most prevalent antibodies of WNV were IgG namely 75 cases (55.14%). Most common symptoms were fever, headache, fatigue, weakness, arthralgia, myalgia and photophobia. The treatment based on the intravenous therapy (IV) with anti-pyritic, plasma in some cases and all cases were recovered while mortality rate was 00%. Conclusion: WNV was detected in Hodeidah which placed in Tehama "western Yemen", as first time by our preliminary study that confirmed the evidence of WNV IgM and IG antibodies presence on 2017, in order to increase safety of diagnosis of febrile diseases, it is essential to continue surveillance of this emerging infection, suggesting that this emergence has been transported by migratory birds from wintering areas to Tehama region.
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