Co-infections due to leptospira, dengue and hepatitis E: a diagnostic challenge.
A case of mixed infection due to leptospira, dengue and hepatitis E is reported. Similar clinical presentation and simultaneous transmission of these diseases during rainy season can cause substantial misdiagnosis. Serological tests play a mainstay in diagnosis. Early detection by appropriate serological tests and institution of therapy is crucial and life saving.
Department of Microbiology, All India Institute of Medical Sciences, New Delhi 110029, India. drbinny2004@yahoo.co.in
Bijayini
B
Behera
Rama
R
Chaudhry
Anubhav
A
Pandey
Anant
A
Mohan
Lalit
L
Dar
Martha M
MM
Premlatha
Ekta
E
Gupta
Shobha
S
Broor
Parveen
P
Aggarwal
D000914:Antibodies, Viral / Q000097:blood; D003715:Dengue / Q000097:blood / Q000150:complications* / Q000175:diagnosis* / Q000503:physiopathology; D003716:Dengue Virus / Q000276:immunology / Q000302:isolation & purification; D003937:Diagnosis, Differential; D005334:Fever / Q000209:etiology; D016751:Hepatitis E / Q000097:blood / Q000150:complications* / Q000175:diagnosis* / Q000503:physiopathology; D016752:Hepatitis E virus / Q000276:immunology / Q000302:isolation & purification; D006801:Humans; D007565:Jaundice / Q000209:etiology; D007668:Kidney / Q000503:physiopathology; D007919:Leptospira / Q000302:isolation & purification; D007922:Leptospirosis / Q000097:blood / Q000150:complications* / Q000175:diagnosis* / Q000503:physiopathology; D008099:Liver / Q000503:physiopathology; D008297:Male; D011891:Rain; D012621:Seasons; D055815:Young Adult
D000914:Antibodies, Viral