Sapkota Surendra, Bhandari Sudeep, Sapkota Subash, Hamal Rabin
Department of Internal Medicine, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal.
Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal.
Case Rep Infect Dis. 2017;2017:6214083. doi: 10.1155/2017/6214083. Epub 2017 Mar 13.
Dengue fever and scrub typhus are common causes of acute febrile illness of unclear origin in Asia. Though coinfections of many vector-borne diseases have been described, articles on dengue and scrub typhus coinfection are distinctly limited. In case of coinfection with dengue and scrub typhus, vigilant monitoring of vitals, platelets transfusion, and timely treatment with doxycycline are necessary. High degree of suspicion has to be made for coinfection in a patient presenting with febrile illness with thrombocytopenia and deranged laboratory parameters in postmonsoon season in endemic regions in Asia.
登革热和恙虫病是亚洲不明原因急性发热性疾病的常见病因。虽然已经描述了许多媒介传播疾病的合并感染，但关于登革热和恙虫病合并感染的文章明显有限。在登革热和恙虫病合并感染的情况下，有必要对生命体征进行密切监测、输注血小板，并及时使用多西环素进行治疗。对于亚洲流行地区在季风季节后出现发热性疾病、血小板减少和实验室参数异常的患者，必须高度怀疑合并感染。
