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A clinical report on mixed infection of malaria, dengue and chikungunya from New Delhi, India

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Abstract

Arthropod-borne infections like malaria, dengue and chikungunya fever are transmitted by mosquitoes. The present report describes an unusual case of mixed infection with malaria, dengue and chikungunya viruses in a 21 year old male patient from New Delhi, India during monsoon season of 2016. The malarial fever was diagnosed by thin slide microscopy and antigen test. Chikungunya virus IgM was detected in the sample by the card test. Dengue and chikungunya viruses were further confirmed by RT-PCR for CprM and E1 gene respectively. Phylogenetic analysis clustered the study dengue virus serotype 3 sequence in the genotype III. Thus, the mono infections can not be differentiated from concurrent infections on the basis of clinical symptoms, the appropriate laboratory diagnosis is essential for the accurate pathogen confirmation. Precise and appropriate identification of the multiple pathogens in such clinical cases will assist in the effective management of these arthropod mediated infections.

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References

  1. Afreen N, Deeba F, Khan WH, Haider SH, Kazim SN, Ishrat R, et al. Molecular characterization of dengue and chikungunya virus strains circulating in New Delhi, India. Microbiol Immunol. 2014;58(12):688–96.

    Article  CAS  PubMed  Google Scholar 

  2. Ayorinde AF, Oyeyiga AM, Nosegbe NO, Folarin OA. A survey of malaria and some arboviral infections among suspected febrile patients visiting a health centre in Simawa, Ogun State, Nigeria. J Infect Public Health. 2016;9(1):52–9.

    Article  PubMed  Google Scholar 

  3. Carme B, Matheus S, Donutil G, Raulin O, Nacher M, Morvan J. Concurrent dengue and malaria in Cayenne Hospital, French Guiana. Emerg Infect Dis. 2009;15(4):668–71.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Edwards T. Co-infections with Chikungunya and dengue viruses, Guatemala, 2015. Emerg Infect Dis J CDC. 2016;22(11):2003

    Article  Google Scholar 

  5. Deeba F, Islam A, Kazim SN, Naqvi IH, Broor S, Ahmed A, et al. Chikungunya virus: recent advances in epidemiology, host pathogen interaction & vaccine strategies. Pathog Dis. 2015;74(3):ftv119. doi:10.1093/femspd/ftv119

    Article  PubMed  Google Scholar 

  6. Deeba FAN, Islam A, et al. Co-infection with dengue and chikungunya viruses. Current topics in chikungunya. Rijeka: INTECH open; 2016.

    Google Scholar 

  7. Epelboin L, Boullé C, Ouar-Epelboin S, Hanf M, Dussart P, Djossou F, et al. Discriminating malaria from dengue fever in endemic areas: clinical and biological criteria, prognostic score and utility of the C-reactive protein: a retrospective matched-pair study in French Guiana. PLoS Negl Trop Dis. 2013;7(9):e2420.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Furuya-Kanamori L, Liang S, Milinovich G, Magalhaes RJS, Clements AC, Hu W, et al. Co-distribution and co-infection of chikungunya and dengue viruses. BMC Infect Dis. 2016;16(1):1.

    Google Scholar 

  9. Halsey ES, Baldeviano GC, Edgel KA, Vilcarromero S, Sihuincha M, Lescano AG. Symptoms and immune markers in plasmodium/dengue virus co-infection compared with mono-infection with either in Peru. PLoS Negl Trop Dis. 2016;10(4):e0004646.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Hati AK, Bhattacharjee I, Mukherjee H, Bandyopadhayay B, Bandyopadhyay D, De R, et al. Concurrent dengue and malaria in an area in Kolkata. Asian Pac J Trop Med. 2012;5(4):315–7.

    Article  PubMed  Google Scholar 

  11. Magalhães BM, Siqueira AM, Alexandre MA, Souza MS, Gimaque JB, Bastos MS, et al. P. vivax malaria and dengue fever co-infection: a cross-sectional study in the Brazilian Amazon. PLoS Negl Trop Dis. 2014;8(10):e3239.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Mendonça VR, Andrade BB, Souza LC, Magalhães BM, Mourão MP, Lacerda MV, et al. Unravelling the patterns of host immune responses in Plasmodium vivax malaria and dengue co-infection. Malar J. 2015;14(1):315.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Nazish P, Broor S, Abdullah M, Malik H, Tazeen A, Asif N, et al. Resurgence of dengue-like and chikungunya-like illness in New Delhi, India during 2016. Indian J Health Sci Care. 2016;3(2):61–5.

    Article  Google Scholar 

  14. Raut C, Rao N, Sinha D, Hanumaiah H, Manjunatha M. Chikungunya, dengue, and malaria co-infection after travel to Nigeria, India. Emerg Infect Dis. 2015;21(5):908–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Tazeen A, Abdullah M, Hisamuddin M, Ali S, Naqvi IH, Verma HN, Ahmed A, Parveen S. Concurrent Infection with Plasmodium vivax and the Dengue and Chikungunya Viruses in a Paediatric Patient from New Delhi, India in 2016. Intervirology. 2017;60(1–2):48–52.

    Article  CAS  PubMed  Google Scholar 

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Acknowledgements

Ayesha Tazeen is supported by Research Fellowship of the University Grants Commission, Government of India. Malik Hisamuddin is supported by Senior Research Fellowship of Indian Council of Medical Research, New Delhi, India. Work in our laboratory is supported by Grants from University Grants Commission and Council of Scientific and Industrial Research, Government of India. We acknowledge the support of laboratory staff of Dr. M.A. Ansari Health Centre, Jamia Millia Islamia, New Delhi.

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Correspondence to Shama Parveen.

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Abdullah, M., Tazeen, A., Hisamuddin, M. et al. A clinical report on mixed infection of malaria, dengue and chikungunya from New Delhi, India. VirusDis. 28, 422–424 (2017). https://doi.org/10.1007/s13337-017-0404-6

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  • DOI: https://doi.org/10.1007/s13337-017-0404-6

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