CO-INFECTION OF INFLUENZA AND DENGUE VIRUSES IN A PATIENT WITH GRAM-NEGATIVE BACTEREMIA- A CASE REPORT

Abstract

Co-infection with influenza and dengue virus is a rare occurrence, and when combined with gram-negative bacterial infection, can present a complex clinical picture. We present the case of a 68 years old male, with prostrate carcinoma and prior trans-urethral resection of the prostate 1-year ago, now presented with symptoms of profuse sweating and undocumented fever for 4 days. He was positive for both Influenza A and Dengue virus and developed Gram-negative bacteremia. The patient manifested pyrexia, chills, severe body aches, and laboratory investigations revealed thrombocytopenia and hemolytic anemia. Patient was managed with supportive care, intravenous antibiotics, and supplemental oxygen. After 2 weeks of hospital stay, patient was discharged. Early recognition and initiation of appropriate therapy can lead to a favorable outcome in such cases.  Thus, co-infection with influenza, dengue, and gram-negative bacteria can present with a complex clinical picture and requires prompt diagnosis and management.

Keywords: Co-infection, Dengue virus, Hypoxia, Influenza, Thrombocytopenia.