Dengue Co-infections-An Emerging Entity during the Outbreak
Published: April 1, 2018 | DOI: https://doi.org/10.7860/JCDR/2018/32002.11385
Prasan Kumar Panda, Srikant Mohta, Naveet Wig, Manish Soneja
1. Assistant Professor, Department of Medicine, AII India Institute of Medical Sciences, Rishikesh, India.
2. Junior Resident, Department of Medicine, AII India Institute of Medical Sciences, Delhi, India.
3. Professor, Department of Medicine, AII India Institute of Medical Sciences, Delhi, India.
4. Associate Professor, Department of Medicine, AII India Institute of Medical Sciences, Delhi, India.
Correspondence
Dr. Naveet Wig,
Professor, Department of Medicine, AII India Institute of Medical Sciences, Delhi-110029, India.
E-mail: naveet_wig@yahoo.com
Viral infections predispose a patient for super added infections and it is important to know the spectrum to suspect them. We analysed 98 cases of dengue fever who were presented at a tertiary care hospital; of which 12 were associated with co-infections. Bacterial infections were the most common type of co-infections (50%; n=6). Viral co-infections were present in 25% patients (n=3) and included hepatitis A, hepatitis B, and chikungunya. The remaining co-infections included parasitic and fungal co-infections. Severe dengue was seen in 83.3% cases (n=10). Amongst the organ involvement, the liver was maximally involved followed by deranged haematological parameters. Mortality was seen in 25% cases (n=3). Few unique co-infections caused by organisms like Ascaris and Aspergillus were identified. There is a possibility of bilateral increase in the severity of few co-infections. Prolonged fever (=5 days) and severe organ dysfunction should alert the physician to actively look for co-infections.
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