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(co-infection, n = 902; VL, n = 2939) (OR 0.64, 95% CI 0.44-0.93, I 0%; P = 0.02). No difference in malnutrition at admission was found in the meta-analysis. The prevalence of malaria co-infection among individuals with VL was heterogeneous and ranged from 7 to 18%, depending on geographical area. Age and anemia at admission were associated with co-infection status. Further longitudinal studies are needed to determine if co-infection with malaria has an impact on the severity of VL. The prevalence of malaria co-infection am