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

Revista da Sociedade Brasileira de Medicina Tropical

Rafael Nogueira Macedo²  Felipe Araujo Rocha²  Dionne Bezerra Rolim¹  Dina Cortez Lima Feitosa Vilar¹  Fernanda Montenegro De Carvalho Araújo¹  Nélia Nogueira Vieira¹  Juliana Rodrigues Teixeira¹  Maíza Colares Carvalho²  Francisco George Magalhães Oliveira²  Luciano Pamplona De Góes Cavalcanti¹ 

[1] ,Hospital Geral de Fortaleza Ambulatório de Doenças Infecciosas Fortaleza CE

关键词: Melioidosis;    Dengue fever;    Coinfection;    Melioidose;    Dengue;    Coinfecção;   

DOI  :  10.1590/S0037-86822012000100028

来源: SciELO

【 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】

CC BY   
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