Dengue and HEV co-infection in a case of hepatitis
DOI:
https://doi.org/10.18203/2320-6012.ijrms20160550Keywords:
Dengue, Hepatitis, HEV, ALT, AST, Co-infectionAbstract
A 35 years old male presented in the casualty of D.Y. Patil hospital with chief complaints of fever with chills since 10 days. Due to high endemicity of malaria in the Navi Mumbai region an initial diagnosis of malaria was made. Patient was admitted and started on anti-malarials. Initial reports were positive for dengue NS1 antigen. As the patient had severe jaundice a possibility of another co-infection was considered. On further investigation hepatitis E (HEV) Ig M was positive. This case illustrates the importance of considering co-infections in endemic areas that can pose diagnostic dilemmas.
Metrics
References
Yeolekar ME, Sukumaran S. Dengue, API textbook of medicine 10th edition.
Amarapurkar DA. Acute Viral Hepatitis, API textbook of medicine 10th edition.
Honorio NA, Castro MG, de Barros FS, Magalhaes Mde A, Sabroza PC: The spatial distribution of Aedes aegypti and Aedes albopictus in a transition zone, Rio de Janeiro, Brazil. Cad Saude Publica. 2009;25(6):1203-14.
George R. LLCS. Clinical spectrum of dengue infection. Washington: Cab International; 1997.
de Souza LJ, Goncalves Carneiro H, Souto Filho JT, Ferreira de Souza T, Azevedo Cortes V, Neto CG, Bastos DA, da Silva Siqueira EW: Hepatitis in dengue shock syndrome. Braz J Infect Dis. 2002;6(6):322-7.
Trung DT, Thao le TT, Hien TT, Hung NT, Vinh NN, Hien PT. Liver involvement associated with dengue infection in adults in Vietnam. Am J Trop Med Hyg. 2010;83(4):774-80.
Bhamarapravati N. Hemostatic defects in dengue hemorrhagic fever. Rev Infect Dis. 1989;11((Suppl 4)):S826-9.
Huerre MR, Lan NT, Marianneau P, Hue NB, Khun H, Hung NT. Liver histopathology and biological correlates in five cases of fatal dengue fever in Vietnamese children. Virchows Arch. 2001;438:107-15.