Volume 96, Issue 1
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645



Human immunodeficiency virus (HIV) and dengue coinfection has not been extensively studied. We report herein a case of dengue serotype 1 infection in an HIV-1-positive patient coinfected with hepatitis B virus (HBV) in Colima State, Mexico. CD4 cells and HIV-1 viremia remained at normal levels, and no severe complications were observed during this multiple viral infection. The alanine transaminase and aspartate transaminase values were elevated before and during dengue infection. Surprisingly, these parameters were significantly reduced 2 months later. Because of the lack of evidence regarding this multiple viral interaction, further research is required to understand the biologic and clinical course of dengue infection in HIV-1/HBV coinfected patients, especially in tropical regions where dengue virus transmission is highly active.


Article metrics loading...

Loading full text...

Full text loading...



  1. Sun HY, Sheng WH, Tsai MS, Lee KY, Chang SY, Hung CC, , 2014. Hepatitis B virus coinfection in human immunodeficiency virus-infected patients: a review. World J Gastroenterol 20: 1459814614.[Crossref]
  2. Huang AJ, Núñez M, , 2015. Outcomes in HIV/HBV-coinfected patients in the tenofovir era are greatly affected by immune suppression. J Int Assoc Provid AIDS Care 14: 360368.[Crossref]
  3. Alemu A, Shiferaw Y, Addis Z, Mathewos B, Birhan W, , 2013. Effect of malaria on HIV/AIDS transmission and progression. Parasit Vectors 6: 18.[Crossref]
  4. Morgado MG, Barcellos C, Pina MF, Bastos FI, , 2000. Human immunodeficiency virus/acquired immunodeficiency syndrome and tropical diseases: a Brazilian perspective. Mem Inst Oswaldo Cruz 95 (Suppl 1): 145151.[Crossref]
  5. Harms G, Feldmeier H, , 2005. The impact of HIV infection on tropical diseases. Infect Dis Clin North Am 19: 121135.[Crossref]
  6. World Health Organization, 2014. Dengue and Severe Dengue [Internet]. Updated March 2014. Available at: http://www.who.int/mediacentre/factsheets/fs117/en/.
  7. Weaver SC, Vasilakis N, , 2009. Molecular evolution of dengue viruses: contributions of phylogenetics to understanding the history and epidemiology of the preeminent arboviral disease. Infect Genet Evol 9: 523540.[Crossref]
  8. Watt G, Kantipong P, Jongsakul K, , 2003. Decrease in human immunodeficiency virus type 1 load during acute dengue fever. Clin Infect Dis 36: 10671069.[Crossref]
  9. Gonzalez D, Limonta D, Bandera JF, Perez J, Kouri G, Guzman MG, , 2009. Dual infection with dengue virus 3 and human immunodeficiency virus 1 in Havana, Cuba. J Infect Dev Ctries 3: 318320.
  10. Siong WC, Ching TH, Jong GC, Pang CS, Vernon LJ, Sin LY, , 2008. Dengue infections in HIV patients. Southeast Asian J Trop Med Public 39: 260265.
  11. Mendes W da S, Branco M dos R, Medeiros MN, , 2006. Clinical case report: dengue hemorrhagic fever in a patient with acquired immunodeficiency syndrome. Am J Trop Med Hyg 74: 905907.
  12. Pang J, Thein TL, Lye DC, Leo YS, , 2015. Differential clinical outcome of dengue infection among patients with and without HIV infection: a matched case-control study. Am J Trop Med Hyg 92: 11561162.[Crossref]
  13. Torrentes-Carvalho A, Hottz ED, Marinho CF, da Silva JB, de Oliveira Pinto LM, Fialho LG, Bozza FA, Cunha RV, Damasco PV, Kubelka CF, de Azeredo EL, , 2016. Characterization of clinical and immunological features in patients coinfected with dengue virus and HIV. Clin Immunol 164: 95105.[Crossref]
  14. Soriano V, Poveda E, Vispo E, Barreiro P, , 2013. Hepatitis B in HIV-infected patients. Clin Liver Dis 17: 489501.[Crossref]
  15. Samanta J, Sharma V, , 2015. Dengue and its effects on liver. World J Clin Cases 3: 125131.[Crossref]
  16. Agarwal MP, Giri S, Sharma V, Roy U, Gharsangi K, , 2011. Dengue causing fulminant hepatitis in a hepatitis B virus carrier. Biosci Trends 5: 4445.[Crossref]
  17. Tang Y, Kou Z, Tang X, Zhang F, Yao X, Liu S, Jin X, , 2008. Unique impacts of HBV co-infection on clinical and laboratory findings in a recent dengue outbreak in China. Am J Trop Med Hyg 79: 154158.
  18. Wan Z, Xie G, Wu Y, Liu F, Xin S, You S, Liu H, Li C, Li D, , 2016. Cytokines elevated in patients with HBV-related acute-on-chronic liver failure promote NK cell mediated cytotoxicity through TRAIL. Dig Liver Dis 48: 528535.[Crossref]
  19. Law WP, Duncombe CJ, Mahanontharit A, Boyd MA, Ruxrungtham K, Lange JM, Phanuphak P, Cooper DA, Dore GJ, , 2004. Impact of viral hepatitis co-infection on response to antiretroviral therapy and HIV disease progression in the HIV-NAT cohort. AIDS 18: 11691177.[Crossref]
  20. Stylianou E, Aukrust P, Kvale D, Müller F, Frøland SS, , 1999. IL-10 in HIV infection: increasing serum IL-10 levels with disease progression—down-regulatory effect of potent anti-retroviral therapy. Clin Exp Immunol 116: 115120.[Crossref]
  21. Aukrust P, Müller F, Lien E, Nordoy I, Liabakk NB, Kvale D, Espevik T, Frøland SS, , 1999. Tumor necrosis factor (TNF) system levels in human immunodeficiency virus-infected patients during highly active antiretroviral therapy: persistent TNF activation is associated with virologic and immunologic treatment failure. J Infect Dis 179: 7482.[Crossref]
  22. Malavige GN, Huang LC, Salimi M, Gomes L, Jayaratne SD, Ogg GS, , 2012. Cellular and cytokine correlates of severe dengue infection. PLoS One 7: e50387.[Crossref]
  23. McLinden JH, Stapleton JT, Chang Q, Xiang J, , 2008. Expression of the dengue virus type 2 NS5 protein in a CD4+ T cell line inhibits HIV replication. J Infect Dis 198: 860863.[Crossref]
  24. Xiang J, McLinden JH, Rydze RA, Chang Q, Kaufman TM, Klinzman D, Stapleton JT, , 2009. Viruses within the Flaviviridae decrease CD4 expression and inhibit HIV replication in human CD4+ cells. J Immunol 183: 78607869.[Crossref]
  25. López-Lemus UA, Vásquez C, Vázquez-Campuzano R, Valle-Reyes S, Guzmán-Bracho C, Araiza-Garaygordobil D, Rebolledo-Prudencio N, Delgado-Enciso I, Espinoza-Gómez F, , 2014. Dengue virus serotype 1 non-structural protein NS5 expression interferes with HIV replication in a CD4+ T-cell line. Am J Trop Med Hyg 90: 418421.[Crossref]
  26. De Clercq E, Schols D, , 2001. Inhibition of HIV infection by CXCR4 and CCR5 chemokine receptor antagonists. Antivir Chem Chemother 12 (Suppl 1): 1931.
  27. Diepolder HM, Gerlach JT, Zachoval R, Hoffmann RM, Jung MC, Wierenga EA, Scholz S, Santantonio T, Houghton M, Southwood S, Sette A, Pape GR, , 1997. Immunodominant CD4+ T-cell epitope within nonstructural protein 3 in acute hepatitis C virus infection. J Virol 71: 60116019.
  28. González R, Ataíde R, Naniche D, Menéndez C, Mayor A, , 2012. HIV and malaria interactions: where do we stand? Expert Rev Anti Infect Ther 10: 153165.[Crossref]
  29. Rabello A, Orsini M, Disch J, , 2003. Leishmania/HIV co-infection in Brazil: an appraisal. Ann Trop Med Parasitol 97 (Suppl 1): 1728.[Crossref]
  30. Rocha A, de Meneses AC, da Silva AM, Ferreira MS, Nishioka SA, Burgarelli MK, Almeida E, Turcato Júnior G, Metze K, Lopes ER, , 1994. Pathology of patients with Chagas disease and acquired immunodeficiency syndrome. Am J Trop Med Hyg 50: 261268.

Data & Media loading...

  • Received : 14 Jun 2016
  • Accepted : 27 Sep 2016

Most Cited This Month

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error