Evidence map›Paper›PMID 35462550›Full record

ArticleInfectious diseases of poverty2022

Viral haemorrhagic fevers and malaria co-infections among febrile patients seeking health care in Tanzania.

Sima Rugarabamu, Susan F Rumisha, Gaspary O Mwanyika, Calvin Sindato, Hee-Young Lim, Gerald Misinzo, Leonard E G Mboera

Open access · goldAbstract read
In one paragraph

Article in Infectious diseases of poverty, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. The Relationship Between Malaria and Pain: A Mini-Review.The American journal of tropical medicine and hygiene · 2025
    Review
  12. Has the epidemiologic conundrum of Rift Valley fever changed?Tropical animal health and production · 2025
    Review
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Pattern ofTropical medicine and infectious disease · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 3 countries.

Sima RugarabamuSACIDS Foundation for One Health, Sokoine University of Agriculture, Morogoro, Tanzania.
Susan F RumishaNational Institute for Medical Research, Dar es Salaam, Tanzania.
Gaspary O MwanyikaSACIDS Foundation for One Health, Sokoine University of Agriculture, Morogoro, Tanzania.
Calvin SindatoSACIDS Foundation for One Health, Sokoine University of Agriculture, Morogoro, Tanzania.
Hee-Young LimKorea Disease Control and Prevention Agency, National Institute of Health, Osong, Chungchungbukdo, Republic of Korea.
Gerald MisinzoSACIDS Foundation for One Health, Sokoine University of Agriculture, Morogoro, Tanzania.
Leonard E G MboeraSACIDS Foundation for One Health, Sokoine University of Agriculture, Morogoro, Tanzania. lmboera@gmail.com.ORCID http://orcid.org/0000-0001-5746-3776
Southern African Centre for Infectious Disease Surveillance · TZKorea Disease Control and Prevention Agency · KRMbeya University of Science and Technology · TZMuhimbili University of Health and Allied Sciences · TZThe Kids Research Institute Australia · AU

Funding

Korea Centers for Disease Control and Prevention 4845-300-340-01)
6 · The paper itself

Abstract

backgroundIn recent years there have been reports of viral haemorrhagic fever (VHF) epidemics in sub-Saharan Africa where malaria is endemic. VHF and malaria have overlapping clinical presentations making differential diagnosis a challenge. The objective of this study was to determine the prevalence of selected zoonotic VHFs and malaria co-infections among febrile patients seeking health care in Tanzania.

methodsThis facility-based cross-sectional study was carried out between June and November 2018 in Buhigwe, Kalambo, Kyela, Kilindi, Kinondoni, Kondoa, Mvomero, and Ukerewe districts in Tanzania. The study involved febrile patients seeking health care from primary healthcare facilities. Blood samples were collected and tested for infections due to malaria, Crimean-Congo haemorrhagic fever (CCHF), Ebola virus disease (EVD), Marburg virus disease (MVD), Rift Valley fever (RVF) and yellow fever (YF). Malaria infections were tested using rapid diagnostics tests while exposure to VHFs was determined by screening for immunoglobulin M antibodies using commercial enzyme-linked immunosorbent assays. The Chi-square test was used to compare the proportions.

resultsA total of 308 participants (mean age = 35 ± 19 years) were involved in the study. Of these, 54 (17.5%) had malaria infection and 15 (4.8%) were positive for IgM antibodies against VHFs (RVF = 8; CCHF = 2; EBV = 3; MBV = 1; YF = 1). Six (1.9%) individuals had both VHF (RVF = 2; CCHF = 1; EVD = 2; MVD = 1) and malaria infections. The highest co-infection prevalence (0.6%) was observed among individuals aged 46‒60 years (P < 0.05). District was significantly associated with co-infection (P < 0.05) with the highest prevalence recorded in Buhigwe (1.2%) followed by Kinondoni (0.9%) districts. Headache (100%) and muscle, bone, back and joint pains (83.3%) were the most significant complaints among those infected with both VHFs and malaria (P = 0.001).

conclusionsCo-infections of VHF and malaria are prevalent in Tanzania and affect more the older than the younger population. Since the overlapping symptoms in co-infected individuals may challenge accurate diagnosis, adequate laboratory diagnosis should be emphasized in the management of febrile illnesses.

Indexed as

CoinfectionHemorrhagic Fever, CrimeanHemorrhagic Fever, EbolaHemorrhagic Fevers, ViralHemorrhagic Fever Virus, Crimean-CongoMalariaAdolescentAdultAnimalsAntibodies, ViralCross-Sectional StudiesDelivery of Health CareFeverHumansImmunoglobulin MMiddle AgedAntibodies, ViralImmunoglobulin MCo-infectionFebrile illnessesMalariaTanzaniaViral haemorrhagic fevers

Identifiers

PMID35462550
PMCPMC9036688
OpenAlexW4226044412

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.