Dengue and Chikungunya Coinfection Associated with Multi Organ Dysfunction Syndrome and Ttp: A Case Report
Likitha B S *
Aster CMI Hospital, India.
Brunda M S
Aster CMI Hospital, India.
Praveen Kumar
Department of Clinical Pharmacology, Aster CMI Hospital, India.
Rohith A
Department of Clinical Pharmacology, Aster CMI Hospital, India.
Santosh M
Aster CMI Hospital, India.
*Author to whom correspondence should be addressed.
Abstract
Aim: Dengue (DENV) and chikungunya (CHIKV) fever are the two serious arboviral diseases presenting as self-limiting acute febrile illness reporting over 1,00,000 cases in a year. Dengue and chikungunya fever can transmit through the same vector and share similar symptoms, ruling out the diagnosis and its timely management could be time consuming.
Presentation of Case: Here we discuss a case of dengue and chikungunya coinfection associated with Thrombotic Thrombocytopenic Purpura (TTP) in an adult Indian female presented with acute febrile illness that later on progressed to Multi Organ Dysfunction Syndrome affecting brain, kidney, lungs and haematological system.
Discussion and Conclusion: We discuss the diagnostic approaches, management of this complicated case and would like to generate an awareness regarding the coinfection of these viruses, their complications leading to multiorgan damage.
Keywords: Dengue fever, thrombocytopenia, chikungunya virus, thrombotic thrombocytopenic purpura, multi organ dysfunction syndrome, coinfection