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Am J Trop Med Hyg ; 98(3): 838-840, 2018 03.
Article in English | MEDLINE | ID: mdl-29363451

ABSTRACT

Dengue virus (DENV) and chikungunya virus (CHIKV) are transmitted by the same mosquito vectors and now co-circulate in many parts of the world; however, coinfections and serial infections are not often diagnosed or reported. A 38-week pregnant woman was admitted to the hospital with a diagnosis of suspected DENV and CHIKV in southern coastal Ecuador. The pregnancy was complicated by mild polyhydramnios and fetal tachycardia, and a healthy newborn was born. The patient was positive for a recent secondary DENV infection (Immunoglobulin M and Immunoglobulin G positive) and an acute CHIKV infection (real-time reverse transcriptase polymerase chain reaction positive) (Asian genotype). The newborn was not tested for either virus. This case resulted in a benign clinical course with a favorable pregnancy outcome.


Subject(s)
Chikungunya Fever/diagnosis , Chikungunya virus/genetics , Dengue Virus/genetics , Dengue/diagnosis , Adult , Chikungunya Fever/virology , Chikungunya virus/isolation & purification , Coinfection , Dengue/virology , Dengue Virus/isolation & purification , Ecuador , Female , Humans , Infant, Newborn , Peripartum Period , Pregnancy
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