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Comparison between Three Rare Cases of Co‑Infection with Dengue, Leptospira and Hepatitis E: Is Early Endothelial Involvement the Culprit in Mortality?


Singh RK, Ghatak T, Saigal S, Baronia AK

CoâÂ??Â??infection in immunocompetent patients is rare. Though coâÂ??Â??infection with dengue and leptospira cases is increasingly reported, a coâÂ??Â??infection of this combination along with hepatitis E is rarely thought of. Until date only two case of triple coâÂ??Â??infection have been reported worldâÂ??Â??wide. Here, we are reporting a patient with coâÂ??Â??infection of dengue, leptospirosis and hepatitis E admitted to our intensive care unit. Early septic shock and increasing procalcitonin in dengue patient raised suspicion of coâÂ??Â??infection. Our aim is to educate intensivists about this rare coâÂ??Â??infection and hence that timely initiation of appropriate diagnostic, therapeutic and supportive measures can alter outcome favorably.

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Annals of Medical and Health Sciences Research The Annals of Medical and Health Sciences Research is a bi-monthly multidisciplinary medical journal.
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