Co-infection of dengue fever and hepatitis A in a Russian traveler

Ev, Volchkova; Umbetova, Karina; Belaia, O. F; Sviridova, M. B; Dmitrieva, L N; Arutyunova, Daria D.; Chernishov, Dmitriy; Karan, Ludmila S.

doi:10.1016/j.idcr.2016.07.002

Cited by 7 publications

(8 citation statements)

References 4 publications

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“…Other than chikungunya, coinfection with other viruses such as Herpes, HAV, HEV and Measles were also observed. Many case reports have showed dengue co-infection with similar viral infections (25)(26)(27). Dengue co-infection with other diseases like malaria, typhoid, sickle cell anaemia and urinary tract infection were also observed in the present study.…”

Section: Discussionsupporting

confidence: 80%

Viral characteristics and clinical presentation in dengue co-infection- Findings from a facility based observational study in Odisha, India

Turuk¹,

Palo²,

Rath³

et al. 2021

Journal of Family Medicine and Primary Care

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Background: Dengue is a widespread disease affecting many countries and about two fth of the world is at risk for this disease. In India, the dengue incidence has increased in recent past and emerged as an important health problem in many states including Odisha. Cases with dengue co-infection with other diseases usually have atypical clinical presentation. Methods: A facility based longitudinal study was carried out over a period of one year to determine the dengue co-infection and its outcome. The suspected cases were clinically assessed following a standard case report format and serological investigations including serotyping were carried out.Results: 33.6% samples were dengue positive of which 78.5% were positive for NS1 Ag, 26.6% positive for dengue IgM and 5.1% to both. Among the dengue positive cases, 60.9% were male and mean age was 31.52 (+/-17.03) years. High occurrence of cases was during May to November with maximum in August. Among the 975 dengue positives, 57 (5.8%) were found to have co-infection. Chikungunya was the most common co-infection in 71.9%, followed by herpes simplex (HSV) (7%) and other diseases.Fever was the most common presenting symptom (98.2%), followed by myalgia (91.2%), pain abdomen (12.3%), Rash/lesion (8.8%), burning micturition (5.3%), Petechiae (1.7%) and Pruritus (1.7%) among the co-infected cases.While DEN-2 serotype was observed in majority (74.1%) more than two serotypes was found in 5.85% of dengue positives .Conclusions: All the four dengue serotypes were found to be circulating with DEN-2 as the most predominant one. About 5.8% of dengue cases have co-infection (mainly with chikungunya) and clinically present with atypical signs and symptoms.

show abstract

Section: Discussionsupporting

confidence: 80%

Viral characteristics and clinical presentation in dengue co-infection- Findings from a facility based observational study in Odisha, India

Turuk¹,

Palo²,

Rath³

et al. 2021

Journal of Family Medicine and Primary Care

View full text Add to dashboard Cite

show abstract

“…Other than chikungunya, co-infection with other viruses such as Herpes, HAV, HEV and Measles were also observed. Many case reports have showed dengue co-infection with similar viral infections (25)(26)(27).…”

Section: Discussionmentioning

confidence: 99%

Viral Characteristics and Clinical Presentation in Dengue Co-infection—Findings from a Facility Based Observational Study in Odisha, India

Turuk

Palo

Rath

et al. 2020

Preprint

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Background: Dengue is a widespread disease affecting many countries and about two fifth of the world is at risk for this disease. In India, the dengue incidence has increased in recent past and emerged as an important health problem in many states including Odisha. Cases with dengue co-infection with other diseases usually have atypical clinical presentation.Methods: A facility based longitudinal study was carried out over a period of one year to determine the dengue co-infection and its outcome. The suspected cases were clinically assessed following a standard case report format and serological investigations including serotyping were carried out.Results: 33.6% samples were dengue positive of which 78.5% were positive for NS1 Ag, 26.6% positive for dengue IgM and 5.1% to both. Among the dengue positive cases, 60.9% were male and mean age was 31.52 (+/- 17.03) years. High occurrence of cases was during May to November with maximum in August. Among the 975 dengue positives, 57 (5.8%) were found to have co-infection. Chikungunya was the most common co-infection in 71.9%, followed by herpes simplex (HSV) (7%) and other diseases. Fever was the most common presenting symptom (98.2%), followed by myalgia (91.2%), pain abdomen (12.3%), Rash/lesion (8.8%), burning micturition (5.3%), Petechiae (1.7%) and Pruritus (1.7%) among the co-infected cases.While DEN-2 serotype was observed in majority (74.1%) more than two serotypes was found in 5.85% of dengue positives .Conclusions: All the four dengue serotypes were found to be circulating with DEN-2 as the most predominant one. About 5.8% of dengue cases have co-infection (mainly with chikungunya) and clinically present with atypical signs and symptoms.

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“…Coinfection with dengue and hepatitis A in an individual is rare but challenging for medical professionals because of the overlap between their symptoms [ 16 , 17 ]. Moreover, bacteremia in a patient coinfected with dengue and hepatitis A is extremely rare and more challenging in terms of diagnosis and management, posing life-threatening complications.…”

Section: Introductionmentioning

confidence: 99%

“…Coinfection with dengue and hepatitis A has been reported in several case reports [ 16 , 17 , 27 – 30 ]. Overlapping of clinical features between dengue and hepatitis A can lead to substantial misdiagnosis.…”

Section: Introductionmentioning

confidence: 99%

Coinfection with dengue and hepatitis A complicated with infective endocarditis in a Yemeni patient: a case report

et al. 2021

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Introduction Coinfection with dengue and hepatitis A is rare and challenging for physicians since their clinical features can be overlapping. These infections are self-limiting but can become complicated by subsequent infective endocarditis. We report a case of infective endocarditis following a coinfection with dengue and hepatitis A. Case presentation A 17-year-old Yemeni male patient was admitted to the hospital complaining of yellowish discoloration of the skin and sclera associated with dark urine and a diffuse skin rash on the trunk and upper limbs followed by intermittent high-grade fever. Coinfection was confirmed by hepatitis A immunoglobulin M and dengue immunoglobulin M. At the time of diagnosis, white blood cells were normal, with mild neutrophilia and thrombocytopenia along with elevated C-reactive protein. Five days later, the patient was readmitted to the emergency department, complaining of high-grade fever, fatigue, myalgia, nausea, and vomiting. A systolic heart murmur was heard, and infective endocarditis was confirmed by the visualization of two vegetations on the mitral valve and coagulase-negative staphylococci after blood culture. Supportive therapies were initiated for hepatitis A and dengue fever, whereas infective endocarditis was treated with antibiotics for 4 weeks. The patient recovered completely from dengue, hepatitis A, and infective endocarditis. Conclusion In endemic areas, it is reasonable to screen for coinfection with dengue and hepatitis A since they are superimposed on each other. Subacute infective endocarditis may occur following initial dengue and hepatitis A coinfection, especially among patients with rheumatic heart disease. An echocardiogram is a pivotal workup for evaluating a patient with persistent fever of unknown origin.

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Co-infection of dengue fever and hepatitis A in a Russian traveler

Cited by 7 publications

References 4 publications

Viral characteristics and clinical presentation in dengue co-infection- Findings from a facility based observational study in Odisha, India

Viral characteristics and clinical presentation in dengue co-infection- Findings from a facility based observational study in Odisha, India

Viral Characteristics and Clinical Presentation in Dengue Co-infection—Findings from a Facility Based Observational Study in Odisha, India

Coinfection with dengue and hepatitis A complicated with infective endocarditis in a Yemeni patient: a case report

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