Annals of Tropical Medicine and Public Health
Home About us Ahead Of Print Instructions Submission Subscribe Advertise Contact e-Alerts Editorial Board Login 
Users Online:168
  Print this page  Email this page Small font sizeDefault font sizeIncrease font size

Table of Contents   
Year : 2013  |  Volume : 6  |  Issue : 1  |  Page : 140
Dengue and swine flu: An existed co-infection in clinical practice

1 Wiwanitkit House, Bangkhae, Bangkok, Thailand
2 Hainan Medical University, China, Faculty of Medicine, University of Nis, Serbia, Joseph Ayobabalola University, Nigeria

Click here for correspondence address and email

Date of Web Publication18-Jul-2013

How to cite this article:
Wiwanitkit S, Wiwanitkit V. Dengue and swine flu: An existed co-infection in clinical practice. Ann Trop Med Public Health 2013;6:140

How to cite this URL:
Wiwanitkit S, Wiwanitkit V. Dengue and swine flu: An existed co-infection in clinical practice. Ann Trop Med Public Health [serial online] 2013 [cited 2020 Jun 1];6:140. Available from:

The swine flu has become the big respiratory infectious disease around the world. In the tropical countries, where the basic sanitation is poor, the infection is still problematic. Clinically, swine flu usually presents as an acute febrile illness. Nevertheless, in the tropical world, there are many other infections that can cause acute febrile illness. Among several infections, the viral infections that can produce the high fever with chill in a short incubation period seem to make the differential diagnosis of swine flu difficult. Indeed, the incorrect presumptive diagnosis between the two diseases can be expected. According to a recent report by Lochindarat and Bunnag, dengue is on the list of the early presumptive diagnosis of swine flu. [1]

In some situations, a more difficult case of co-infection can be seen. Here, the authors would like to discuss on an interesting companion, swine flu accompanied with dengue. Due to the nature of acute viral infection of both diseases, it is extremely hard to correctly diagnose the co-infection. It is no doubt that this co-infection exists in the real clinical practice. According to a recent report from Thailand by Chaiwarith et al., [2] 3 out of 378 patients with swine (nearly 1%) had dengue as co-infection. Based on this interesting information, the determination of the possible co-infection among the two diseases is suggested. The possible clues for suspicious diagnosis include: a) acute febrile illness, b) co-presentation between respiratory and bleeding symptoms, c) CBC show lymphocytosis with atypical lymphocytosis and decreased platelet, d) abnormality of chest X ray, and e) history of living in or visiting to a dengue endemic area.

   References Top

1.Lochindarat S, Bunnag T. Clinical presentations of pandemic 2009 influenza a (H1N1) virus infection in hospitalized Thai children. J Med Assoc Thai 2011;94Suppl 3:S107-12.  Back to cited text no. 1
2.Chaiwarith R, Prommee N, Liwsrisakun C, Oberdorfer P, Nuntachit N, Pothirat C. A novel influenza a H1N1 clinical manifestations in patients at Chiang Mai University Hospital.J Med Assoc Thai 2011;94:908-15.  Back to cited text no. 2

Correspondence Address:
Somsri Wiwanitkit
Wiwanitkit House, Bangkhae, Bangkok, Thailand

Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1755-6783.115199

Rights and Permissions


    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Email Alert *
    Add to My List *


 Article Access Statistics
    PDF Downloaded12    
    Comments [Add]    

Recommend this journal