title: Hantavirus pulmonary syndrome coexistent with Dengue.
abstract: Dengue is an arthropod-borne disease caused by viruses of Flaviviridae family. It poses a major public health burden in tropical and sub-tropical regions. Clinical features of dengue vary from a mild flu-like disease and rash, to a potentially lethal haemorrhagic fever or shock syndrome. Hantavirus pulmonary syndrome is a rodent-born disease emerging in the American continent and is caused by viruses of the Bunyaviridae family. Potential reservoirs of these agents were described in Brazilian Central Plateau. Dengue infection is transmitted by mosquitoes, while hantaviruses are acquired by contact or inhalation of aerosolised excreta of infected rodents. Dengue and hantavirus infections have also been considered as emerging public health problems in some Indian areas; moreover, other infections mixed with dengue have been documented. The case of a Brazilian patient with hantavirus pulmonary syndrome and serologic evidence of dengue infection is described.
authors.affiliation: Catholic University of Brasília-DF, Brazil. vitorinomodesto@gmail.com
authors.forename: Vitorino Modesto
authors.initials: VM
authors.lastname: dos Santos
authors.forename: Diana Aristótelis Rocha
authors.initials: DA
authors.lastname: de Sá
authors.forename: Rosane Rodrigues
authors.initials: RR
authors.lastname: Martins
authors.forename: Bruno César Silva
authors.initials: BC
authors.lastname: Paz
authors.forename: Erika Renata Nascimento Cavalcanti
authors.initials: ER
authors.lastname: de Oliveira
authors.forename: Maria dos Santos
authors.initials: Mdos S
authors.lastname: Barcelos
mesh_terms: D001938:Brazil; D003715:Dengue / Q000150:complications*; D018804:Hantavirus Pulmonary Syndrome / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged