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Case report
Dengue and hantavirus coinfection with good outcomes: a clinical case from Panama
  1. Virginia Núñez-Samudio1,2,
  2. Martín Meza2 and
  3. Iván Landires1,3,4
  1. 1Instituto de Ciencias Médicas, Las Tablas, Los Santos, Panamá
  2. 2Sección de Epidemiología, Departamento de Salud Pública, Región de Salud de Herrera, Ministry of Health, Chitré, Herrera, Panamá
  3. 3Centro Regional Universitario de Azuero, CRUA, Universidad de Panamá, Chitré, Herrera, Panamá
  4. 4Hospital Joaquín Pablo Franco Sayas, Región de Salud de Los Santos, Ministry of Health, Las Tablas, Los Santos, Panamá
  1. Correspondence to Dr Iván Landires; ilandires{at}institutodecienciasmedicas.org

Abstract

Dengue and hantavirus are endemic in central Panama. We present a case report of a patient coinfected with dengue and hantavirus who presented overlapping clinical manifestations of both infections. The patient did not require intensive care—as it is commonplace during hantavirus pulmonary syndrome—and he had a good outcome. Patient’s care was positively impacted due to correct diagnosis of coinfection. This case highlights that in endemic areas, coinfection with dengue virus and hantavirus should be suspected. To the best of our knowledge, this case is the first documented case of coinfection with dengue virus and hantavirus in Central America.

  • infectious diseases
  • tropical medicine (infectious disease)
  • public health

https://doi.org/10.1136/bcr-2020-235779

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    Footnotes

    • Twitter @PhdIvan

    • Contributors VN-S: cared for patient; conception and design; interpretation of the data; drafting of the article; critical revision of the article for important intelectual content and final approval of the article. MM: cared for patient; conception and design; interpretation of the data; drafting of the article; critical revision of the article for important intelectual content and final approval of the article. IL: conception and design; interpretation of the data; drafting of the article; critical revision of the article for important intelectual content and final approval of the article.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.