Abstract

MONTIEL-JAROLIN, Dora Elizabeth et al. Case report: ¿Dengue - covid-19 co-infection?. Rev. cient. cienc. salud [online]. 2021, vol.3, n.2, pp.95-101. ISSN 2664-2891.  https://doi.org/10.53732/rccsalud/03.02.2021.95.

Introduction: The first registered case of COVID-19 in Paraguay was in March 2020. Dengue virus infection is endemic in Paraguay. The dengue -COVID-19 confection could be more severe. A case of a patient with COVID-19 pneumonia with probable co-infection with the dengue virus hospitalized in December 2020 at the Internal Medicine Service of the Ñemby District Hospital is decribed. Clinical case: 63-year-old man from Villeta, consulting in December 2020 due to a 9-day history, with sore throat, dry cough and fever of 38 °C, 2 days before admission he presents progressive respiratory distress until reach minimal efforts. Pulmonary examination indicates decreased vesicular murmur, bibasal crackles, isolated wheezing. Laboratory tests show white blood cell count: 4200 per mm3, lymphocytes: 42%, LDH: 883 IU/L, ferritin: >1000. Both, IgM immunochromatographic test for dengue and the SARS-COV2 antigen were positive. On the 21st day of illness, he presented worsening of dyspnea, need for mechanical ventilation, admission to the intensive care unit, and died 5 days after multiple organ failure. Conclusion: dengue and COVID -19 co-infection cannot be ruled out in this patient; nor was a false positive serology for dengue, since a rapid test was used for the diagnosis of dengue.

Keywords : COVID-19; dengue; coinfection.

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