2019
DOI: 10.3329/akmmcj.v10i1.43670
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Dengue Typhoid Co-infection: a New Threat

Abstract: Acute febrile illness is the most common clinical presentation among patients attending to doctor in developing countries. In Bangladesh, dengue and typhoid fever have emerged as major public health problems. Co-infection with both these diseases is rarely reported and are known to present with overlapping symptoms making the clinical diagnosis difficult. The exact incidence of dengue and typhoid co-infection is not known. Here we report a case of co-infection of dengue fever with typhoid fever.

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“…Body aches, myalgias, altered bowel patterns, and sore throat are common in both dengue fever and typhoid fever. Similar laboratory findings and physical signs in typhoid fever and dengue fever, including rash, mild splenomegaly, relative bradycardia, and neutropenia make differentiation almost impossible [ 16 ]. Other febrile illnesses should be considered, especially when the clinical course of a patient differs from the natural disease course or when a patient is unresponsive to standard treatment.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Body aches, myalgias, altered bowel patterns, and sore throat are common in both dengue fever and typhoid fever. Similar laboratory findings and physical signs in typhoid fever and dengue fever, including rash, mild splenomegaly, relative bradycardia, and neutropenia make differentiation almost impossible [ 16 ]. Other febrile illnesses should be considered, especially when the clinical course of a patient differs from the natural disease course or when a patient is unresponsive to standard treatment.…”
Section: Discussionmentioning
confidence: 99%
“…A case of dengue and typhoid co-infection in India was reported, but results of a sensitivity test were not provided [12]. In two patients with dengue fever, culture-proven Salmonella typhi was found to be sensitive to fluoroquinolones [13,14], and in four other patients, Salmonella typhi was found to be sensitive to cephalosporins [14][15][16][17]. The clinical condition of all the patients improved after treatment with fluoroquinolone and/or oral or parenteral cephalosporin.…”
Section: Table 2: Blood Culture and Sensitivity Reportmentioning
confidence: 99%