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.
Behera
Bijayini
B
Department of Microbiology, All India Institute of Medical Sciences, New Delhi 110029, India. drbinny2004@yahoo.co.in
Chaudhry
Rama
R
Pandey
Anubhav
A
Mohan
Anant
A
Dar
Lalit
L
Premlatha
Martha M
MM
Gupta
Ekta
E
Broor
Shobha
S
Aggarwal
Parveen
P
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