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International Journal of Tropical Medicine

ISSN: Online 1818-779X
ISSN: Print 1816-3319
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Co‐Infection of Dengue and Scrub Typhus with Concurrent Lower Urinary Tract Infection: A Complex Clinical Presentation

Soumesh Roy, Saheli Sarkar, Rizwan Ul Haque, Firdaus Ahamed, Sourjya Kanti Ghosh and B. K. Binyakia
Page: 69-71 | Received 22 Oct 2023, Published online: 30 Nov 2023

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https://doi.org/10.36478/10.59218/makijtm.2023.3.69.71

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Abstract

This case report details a complex clinical presentation of a 51‐year‐old patient suffering from co‐infection with Dengue, Scrub Typhus and a concurrent lower Urinary Tract Infection. The patient, whose symptoms included fever, myalgia and burning micturition presented a diagnostic challenge due to the overlapping clinical features of these diseases. He came to the hospital on Day 10 of fever with complains of burning micturition and fever not subsiding even after taking medication. Dengue NS1 test which was done on Day 4 of fever was positive. His hemogram revealed thrombocytopenia. Patient was started with necessary sensitive antibiotics after urine culture sensitivity report came. Gradually his burning sensation and TLC counts and platelet counts became normal, but his fever was not subsiding even until Day 16 inspite of his TLC and platelet count being normal. After a repeated meticulous clinical examination, a small eschar was noted on his right back thigh. Doxycycline was started immediately, to which his fever subsided on Day 18. Subsequently scrub typhus came positive. The case highlights the importance of considering multiple infectious etiologies in regions endemic to these diseases and underscores the significance of a comprehensive diagnostic approach to guide appropriate treatment strategies.

How to cite this article:

Soumesh Roy, Saheli Sarkar, Rizwan Ul Haque, Firdaus Ahamed, Sourjya Kanti Ghosh and B. K. Binyakia. Co‐Infection of Dengue and Scrub Typhus with Concurrent Lower Urinary Tract Infection: A Complex Clinical Presentation.
DOI: https://doi.org/10.36478/10.59218/makijtm.2023.3.69.71
URL: https://www.makhillpublications.co/view-article/1816-3319/10.59218/makijtm.2023.3.69.71