Abstract
Mixed malaria: overviewBackground: clinical and epidemiological aspects of mixed plasmodial infection and mixed malaria are poorly understood; in America thisinformation is almost absent. Objective: review information about mixed plasmodial infection and mixed malaria and collect and organizeColombian 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 andrelatively 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 epidemiologicalbehavior is very variable and depends on transmission intensity and stability, rain cycles, age of patients and anopheline fauna. There isinsufficient basis to guide the mixed plasmodial infection and mixed malaria treatment, but it is suggested a simultaneous treatment ofthe different species. (MÉD.UIS. 2011;25(1):45-54)Key words: Malaria. Mixed malaria. Plasmodium. Diagnosis. Immunology. Epidemiology. Symptoms.
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