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Case ReportPeer-reviewedOpen Access · CC BY-NC-SA 4.0

Triple co-infection involving Dengue Fever, Scrub Typhus and Acute Brucellosis - a rare and surprising entity

Naveen Rajput1, Ritika Abrol2, Manasvi Kalra3

  1. 1 Himalayan Institute of Medical Sciences, Jolly Grant, Dehradun, Uttarakhand.
  2. 2 Himalayan Institute of Medical Sciences, Jolly Grant, Dehradun, Uttarakhand. (corresponding author)
  3. 3 Himalayan Institute of Medical Sciences, Jolly Grant, Dehradun, Uttarakhand.

Published 2023-04-27 · pp. 1-6

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Abstract

 

We report a case of a 28 year old patient presenting with the chief complaints of fever attributed to multiple co-infections. Co-infections have been infrequently reported in literature, dual co-infections being the most common variety. Dengue Fever, Scrub typhus and Acute Brucellosis are commonly found in North India, however they have never been reported to occur simultaneously in the same patient. Cross-reactivity amongst the tests for these infections is unlikely as well. This highlights the possibility of the multiple co-infections in patients presenting with mixed or un-improving symptoms as well as those with laboratory values disproportionate to each tropical illness. Physicians should hold high index of suspicion for co-infections if the same is noted in patients with fever.

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