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:1476
  Print this page  Email this page Small font sizeDefault font sizeIncrease font size
 


 
Table of Contents   
LETTER TO EDITOR  
Year : 2017  |  Volume : 10  |  Issue : 3  |  Page : 757-758
Triple coinfection – dengue, chikungunya, and Zika virus infection: Risk and next possibility for “more than three” combination


1 Sanitation 1 Medical Academic Center, Bangkok, Thailand
2 Faculty of Medicine, University of Nis, Nis, Serbia; Hainan Medical University, Hainan, China

Click here for correspondence address and email

Date of Web Publication21-Aug-2017
 

How to cite this article:
Joob B, Wiwanitkit V. Triple coinfection – dengue, chikungunya, and Zika virus infection: Risk and next possibility for “more than three” combination. Ann Trop Med Public Health 2017;10:757-8

How to cite this URL:
Joob B, Wiwanitkit V. Triple coinfection – dengue, chikungunya, and Zika virus infection: Risk and next possibility for “more than three” combination. Ann Trop Med Public Health [serial online] 2017 [cited 2019 Aug 25];10:757-8. Available from: http://www.atmph.org/text.asp?2017/10/3/757/188508


Dear Editor,

The complex situation of Zika virus coinfected with other infection is an interesting issue in the present day. The coinfection has been sporadically reported and most are double coinfection. However, the recent report by Faccini-Martínez et al.[1] showed an interesting triple coinfection – dengue, chikungunya, and Zika virus infection. Indeed, the circulation of the three virus in the same place at the same time is confirmed,[2] hence, the chance of triple coinfection is possible. The left question is how about the risk. Indeed, a recent report from Thailand already answered the question on the possibility.[3] Wikan et al.[3] reported the immunoreactivity among 21 sera from cases with acute febrile illness. In that report, possible triple coinfection dengue, chikungunya, and Zika virus infection are evidenced in 41.62%. This implies the high rate of chance to expose to all three virus in a patient. Another important concern is on the “more than three” combination. On the basis of the report by Wikan et al., the possible quadruple coinfection – dengue, chikungunya, Japanese encephalitis, and Zika virus infection are evidenced in one-third of all cases.[3] Based on the mentioned information, the risk of possible multiple arboviral coinfection in tropical world seems to be very high.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Faccini-Martínez ÁA, Botero-García CA, Benítez-Baracaldo FC, Pérez-Díaz CE, With regard about the case of Dengue, Chikungunya and Zika co-infection in a patient from Colombia. J Infect Public Health 2016;i:S1876-0341(16)00012-5  Back to cited text no. 1
    
2.
Pessôa R, Patriota JV, Lourdes de Souza Md, Felix AC, Mamede N, Sanabani SS, Investigation into an outbreak of dengue-like illness in Pernambuco, Brazil, revealed a cocirculation of Zika, chikungunya, and dengue virus type 1. Medicine (Baltimore) 2016;95:e3201. doi: 10.1097/MD.0000000000003201  Back to cited text no. 2
    
3.
Wikan N, Suputtamongkol Y, Yoksan S, Smith DR, Auewarakul P. Immunological evidence of Zika virus transmission in Thailand. Asian Pac J Trop Med 2016;9:141-44.  Back to cited text no. 3
    

Top
Correspondence Address:
Beuy Joob
Sanitation 1 Medical Academic Center, Bangkok
Thailand
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1755-6783.188508

Rights and Permissions




 

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


    References

 Article Access Statistics
    Viewed1301    
    Printed45    
    Emailed0    
    PDF Downloaded40    
    Comments [Add]    

Recommend this journal