Severe coinfection of melioidosis and dengue fever in northeastern Brazil: first case report

Revista da Sociedade Brasileira de Medicina Tropical

Araújo, Fernanda Montenegro de Carvalho¹  Rolim, Dionne Bezerra¹  Teixeira, Juliana Rodrigues¹  Laboratório Central de Saúde Pública, Fortaleza¹  Universidade Federal do Ceará, Fortaleza¹  Cavalcanti, Luciano Pamplona de Góes¹  Vilar, Dina Cortez Lima Feitosa¹  Rocha, Felipe Araujo¹  Carvalho, Maíza Colares¹  Secretaria de Saúde do Ceará, Fortaleza¹  Oliveira, Francisco George Magalhães¹  Vieira, Nélia Nogueira¹  Faculdade Christus, Fortaleza¹  Macedo, Rafael Nogueira¹  Hospital Geral de Fortaleza, Fortaleza¹ 

关键词: Melioidosis;    Dengue fever;    Coinfection;   

DOI  :  10.1590/S0037-86822012000100028

学科分类：农业科学（综合）

来源: Sociedade Brasileira de Medicina Tropical

【 摘 要 】

This report focuses on a fatality involving severe dengue fever and melioidosis in a 28-year-old truck driver residing in Pacoti in northeastern Brazil. He exhibited long-term respiratory symptoms (48 days) and went through a wide-ranging clinical investigation at three hospitals, after initial clinical diagnoses of pneumonia, visceral leishmaniasis, tuberculosis, and fungal sepsis. After death, Burkholderia pseudomallei was isolated in a culture of ascitic fluid. Dengue virus type 1 was detected by polymerase chain reaction in cerebrospinal fluid (CSF); this infection was the cause of death. This description reinforces the need to consider melioidosis among the reported differential diagnoses of community-acquired infections where both melioidosis and dengue fever are endemic.

【 授权许可】

Unknown