Zika virus infection as an unexpected finding in a Leptospirosis patient
| Autor: | Cécile Cazorla, Julien Amar, Myrielle Dupont-Rouzeyrol, Antoine Biron, Anne Pfannstiel, Cyrille Goarant |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
0301 basic medicine
Microbiology (medical) medicine.medical_specialty Arbovirus Infections 030106 microbiology 030231 tropical medicine Case Report Context (language use) Microbiology Dengue fever Zika virus 03 medical and health sciences 0302 clinical medicine Dual infection differential diagnosis leptospirosis Medicine zika virus dual infection Intensive care medicine Blood/Heart and Lymphatics biology business.industry Spirochaetes Tropical Diseases medicine.disease biology.organism_classification Leptospirosis Clinical Microbiology Unexpected finding shock syndrome Viruses Immunology Differential diagnosis business amoxycillin |
| Zdroj: | JMM Case Reports |
| ISSN: | 2053-3721 |
| DOI: | 10.1099/jmmcr.0.005033 |
| Popis: | Introduction: Areas where leptospirosis and arboviruses are endemic largely overlap in the tropics. However, the number of arbovirus infections is usually much higher. The initial clinical presentation can be highly confusing; therefore, laboratory confirmation is key to an accurate diagnosis. Case Presentation: A 19–year–old man presented to a peripheral health centre with an acute febrile illness. Dengue was initially suspected, but the patient deteriorated to a shock syndrome. Leptospirosis as well as a co-infection with Zika virus were both confirmed in the laboratory, the latter being clinically masked in this dual infection. Conclusion: This case highlights the importance of not only considering the differential diagnosis of acute febrile syndromes, but also to consider the possibility of dual infections in the context of global spread of arboviruses. The specific context of travellers returning from endemic areas and pregnant women is also highlighted and discussed. |
| Databáze: | OpenAIRE |
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