Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Year : 2018 | Month : April | Volume : 12 | Issue : 4 | Page : OR01 - OR04

Dengue Co-infections-An Emerging Entity during the Outbreak

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 Address :
Dr. Naveet Wig,
Professor, Department of Medicine, AII India Institute of Medical Sciences, Delhi-110029, India.
E-mail: naveet_wig@yahoo.com

Abstract

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.

Keywords

Ascariasis, Aspergillus pneumonia, Bacterial infections, Scrub typhus, Viral infections

How to cite this article :

Prasan Kumar Panda, Srikant Mohta, Naveet Wig, Manish Soneja. DENGUE CO-INFECTIONS-AN EMERGING ENTITY DURING THE OUTBREAK. Journal of Clinical and Diagnostic Research [serial online] 2018 April [cited: 2018 Jul 21 ]; 12:OR01-OR04. Available from
http://jcdr.net/back_issues.asp?issn=0973-709x&year=2018&month=April&volume=12&issue=4&page=OR01-OR04&id=11385

DOI and Others

DOI: 10.7860/JCDR/2018/32002.11385

Date of Submission: Jul 29, 2017
Date of Peer Review: Oct 11, 2017
Date of Acceptance: Feb 17, 2018
Date of Publishing: Apr 01, 2018

FINANCIAL OR OTHER COMPETING INTERESTS: None.

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