Furuya-Kanamori L, Liang S, Milinovich G, Soares Magalhaes RJ, Clements ACA, Hu W, Brasil P, Frentiu FD, Dunning R, Yakob L, 2016. Co-distribution and co-infection of chikungunya and dengue viruses. BMC Infect Dis 16: 84.
Omarjee R, Prat C, Flusin O, Boucau S, Tenebray B, Merle O, Huc-Anais P, Cassadou S, Leparc-Goffart I, 2014. Importance of case definition to monitor ongoing outbreak of chikungunya virus on a background of actively circulating dengue virus, St Martin, December 2013 to January 2014. Euro Surveill 19: pii: 20753.
WHO, 2009. Dengue Guidelines for Diagnosis, Treatment, Prevention and Control: New Edition. Geneva, Switzerland: World Health Organization. Available at: http://www.who.int/rpc/guidelines/9789241547871/en/. Accessed July 8, 2017.
Thiberville S-D, Moyen N, Dupuis-Maguiraga L, Nougairede A, Gould EA, Roques P, de Lamballerie X, 2013. Chikungunya fever: epidemiology, clinical syndrome, pathogenesis and therapy. Antiviral Res 99: 345–370.
Chahar HS, Bharaj P, Dar L, Guleria R, Kabra SK, Broor S, 2009. Co-infections with chikungunya virus and dengue virus in Delhi, India. Emerg Infect Dis 15: 1077–1080.
Mercado M, Acosta-Reyes J, Parra E, Pardo L, Rico A, Campo A, Navarro E, Viasus D, 2016. Clinical and histopathological features of fatal cases with dengue and chikungunya virus co-infection in Colombia, 2014 to 2015. Euro Surveill 21: pii30244.
Rosso F, Pacheco R, Rodríguez S, Bautista D, 2016. Co-infection by chikungunya virus (CHIK-V) and dengue virus (DEN-V) during a recent outbreak in Cali, Colombia: report of a fatal case. Rev Chilena Infectol 33: 464–467.
Brooks JBB, Ruiz CAC, Fragoso YD, 2017. Acute illness with neurological findings caused by coinfection of dengue and chikungunya viruses in a Brazilian patient. J Infect Public Health 10: 359–360.
Stewart-Ibarra AM et al. 2018. The burden of dengue fever and chikungunya in southern coastal Ecuador: epidemiology, clinical presentation, and phylogenetics from the first two years of a prospective study. Am J Trop Med Hyg (in press).
Caron M, Paupy C, Grard G, Becquart P, Mombo I, Nso BBB, Kassa Kassa F, Nkoghe D, Leroy EM, 2012. Recent introduction and rapid dissemination of chikungunya virus and dengue virus serotype 2 associated with human and mosquito coinfections in Gabon, Central Africa. Clin Infect Dis 55: e45–e53.
Vazeille M, Mousson L, Martin E, Failloux A-B, 2010. Orally coiInfected Aedes albopictus from La Reunion Island, Indian Ocean, can deliver both dengue and chikungunya infectious viral particles in their saliva. PLoS Negl Trop Dis 4: e706.
Villamil-Gómez WE, González-Camargo O, Rodriguez-Ayubi J, Zapata-Serpa D, Rodriguez-Morales AJ, 2016. Dengue, chikungunya and Zika co-infection in a patient from Colombia. J Infect Public Health 9: 684–686.
Villamil-Gómez WE, Rodríguez-Morales AJ, Uribe-García AM, González-Arismendy E, Castellanos JE, Calvo EP, Álvarez-Mon M, Musso D, 2016. Zika, dengue, and chikungunya co-infection in a pregnant woman from Colombia. Int J Infect Dis 51: 135–138.
Gérardin P et al. 2008. Multidisciplinary prospective study of mother-to-child chikungunya virus infections on the Island of La Réunion. PLoS Med 5: e60.
Bhat VG, Chavan P, Ojha S, Nair PK, 2015. Challenges in the laboratory diagnosis and management of dengue infections. Open Microbiol J 9: 33–37.
Villamil-Gómez WE, Rodriguez-Morales AJ, 2017. Reply: dengue RT-PCR-positive, chikungunya IgM-positive and Zika RT-PCR-positive co-infection in a patient from Colombia. J Infect Public Health 10: 133–134.
Tilak R, Ray S, Tilak VW, Mukherji S, 2016. Dengue, chikungunya … and the missing entity–Zika fever: a new emerging threat. Med J Armed Forces India 72: 157–163.
Costantine MM, 2014. Physiologic and pharmacokinetic changes in pregnancy. Front Pharmacol 5: 65.
Abele H, Starz S, Hoopmann M, Yazdi B, Rall K, Kagan KO, 2012. Idiopathic polyhydramnios and postnatal abnormalities. Fetal Diagn Ther 32: 251–255.
Hamza A, Herr D, Solomayer EF, Meyberg-Solomayer G, 2013. Polyhydramnios: causes, diagnosis and therapy. Geburtshilfe Frauenheilkd 73: 1241–1246.
Phi Hung L, Diem Nghi T, Hoang Anh N, Van Hieu M, Thien Luan N, Phuoc Long N, Trong Thach T, 2015. Case report: postpartum hemorrhage associated with dengue with warning signs in a term pregnancy and delivery. F1000Res 4: 1483.
Acevedo N, Waggoner J, Rodriguez M, Rivera L, Landivar J, Pinsky B, Zambrano H, 2017. Zika virus, chikungunya virus, and dengue virus in cerebrospinal fluid from adults with neurological manifestations, Guayaquil, Ecuador. Front Microbiol 8: 42.
|Past two years||Past Year||Past 30 Days|
|Full Text Views||494||141||5|
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.
Authors’ addresses: Daniel F. Farrell, Center for Global Health and Translational Science, SUNY Upstate Medical University, Syracuse, NY, E-mail: email@example.com. Christina D. Lupone, Center for Global Health and Translational Science, SUNY Upstate Medical University, Syracuse, NY, and Department of Public Health and Preventive Medicine, SUNY Upstate Medical University, Syracuse, NY, E-mail: firstname.lastname@example.org. Aileen Kenneson, Cinthya Cueva, and Naveed Heydari, Center for Global Health and Translational Science, SUNY Upstate Medical University, Syracuse, NY, E-mails: email@example.com, firstname.lastname@example.org, and email@example.com. Julio H. Barzallo Aguilera, Ministry of Health, Teofilo Davila Hospital, Machala, Ecuador, E-mail: firstname.lastname@example.org. Mark Polhemus, Department of Medicine, SUNY Upstate Medical University, Syracuse, NY, and Center for Global Health and Translational Science, SUNY Upstate Medical University, Syracuse, NY, E-mail: email@example.com. Timothy P. Endy, Department of Medicine, State University of New York, Syracuse, NY, Center for Global Health and Translational Science, SUNY Upstate Medical University, Syracuse, NY, and Department of Microbiology and Immunology, SUNY Upstate Medical University, Syracuse, NY, E-mail: firstname.lastname@example.org. Anna M. Stewart-Ibarra, Center for Global Health and Translational Science, SUNY Upstate Medical University, Syracuse, NY, Department of Medicine, SUNY Upstate Medical University, Syracuse, NY, and Public Health and Preventative Medicine, SUNY Upstate Medical University, Syracuse, NY, E-mail: email@example.com.