Annals of Indian Academy of Neurology
LETTERS TO THE EDITOR
Year
: 2022  |  Volume : 25  |  Issue : 3  |  Page : 511-

Cerebral Malaria, COVID-19 and complete blood examination


Rujittika Mungmunpuntipantip1, Viroj Wiwanitkit2,  
1 Private Academic Consultant, Bangkok, Thailand
2 Department of Community Medicine, Dr. DY Patil University, Pune, Maharashtra, India

Correspondence Address:
Rujittika Mungmunpuntipantip
Private Academic Consultant, Bangkok
Thailand




How to cite this article:
Mungmunpuntipantip R, Wiwanitkit V. Cerebral Malaria, COVID-19 and complete blood examination.Ann Indian Acad Neurol 2022;25:511-511


How to cite this URL:
Mungmunpuntipantip R, Wiwanitkit V. Cerebral Malaria, COVID-19 and complete blood examination. Ann Indian Acad Neurol [serial online] 2022 [cited 2022 Oct 7 ];25:511-511
Available from: https://www.annalsofian.org/text.asp?2022/25/3/511/335397


Full Text



Dear Editor,

We read the report by Ram et al.[1] with great interest. Ram et al.[1] reported on the co-occurrence of COVID-19 and malaria and concluded that “Every suspected case of COVID encephalitis has to be investigated for all possible causes …….” In the present report, it is likely that there is a problem in the first complete blood count examination. In laboratory medicine, a blood smear examination should be routinely done, and it is usually neglected when an automated hematology analyzer is widely used. Because the incubation period for COVID-19 (14 days) and cerebral malaria (12 days) can overlap, it is no doubt that there might be a co-infection and a disease might be underdiagnosed.[2] Also, it is possible that malaria might be a recurrence, not a newly acquired infection, and co-manifest with COVID-19.[3] When hydroxychloroquine is used for the management of COVID-19, it might also manage malaria co-infection in some cases and co-infection might be finally underdiagnosed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

References

1Ram A, Padmanabhan S, Warrier AR, Wilson A. Cerebral malaria in a patient with COVID-19. Ann Indian Acad Neurol 2021;24:616-7.
2Sardar S, Sharma R, Alyamani TYM, Aboukamar M. COVID-19 and plasmodium vivax malaria co-infection. IDCases 2020;21:e00879.
3Pusparani A, Henrina J, Cahyadi A. Co-infection of COVID-19 and recurrent malaria. J Infect Dev Ctries 2021;15:625-9.