Annals of Tropical Medicine and Public Health

: 2015  |  Volume : 8  |  Issue : 1  |  Page : 18-

Mayaro virus during a dengue outbreak

Sim Sai Tin1, Viroj Wiwanitkit2,  
1 Department of Medical Science, Medical Center, Shantou, China
2 Department of Tropical Medicine, Hainan Medical University, Haikou, China

Correspondence Address:
Prof. Sim Sai Tin
Department of Medical Science, Medical Center, Shantou

How to cite this article:
Tin SS, Wiwanitkit V. Mayaro virus during a dengue outbreak.Ann Trop Med Public Health 2015;8:18-18

How to cite this URL:
Tin SS, Wiwanitkit V. Mayaro virus during a dengue outbreak. Ann Trop Med Public Health [serial online] 2015 [cited 2020 Jun 6 ];8:18-18
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Dear Sir,

The problem of concurrent infection with dengue is very interesting. At present, the concern is on the new identified virus that might coinfect with dengue. Zuchi et al. noted that "other arboviruses may be silently circulating during dengue outbreaks." [1] In fact, concomitant infection between dengue and other infectious pathogens is possible and this can be the forgotten issue. [2] The concurrent infection can be problematic and this can result in successful treatment of dengue illness. [2] Hence, it is no doubt that Mayaro virus infection can be seen as a concurrent infection with dengue. The important question is whether Mayaro virus infection contributes any additional clinical problem to the dengue virus-infected cases. There should be a discussion as to whether the finding of Mayaro virus is a silent finding, as noted by Zuchi et al. [1] In fact, Mayaro virus infection usually causes arthralgia, [3] which is also common in dengue; hence, it might be overlooked as a silent concurrent finding.


1Zuchi N, Heinen LB, dos Santos MA, Pereira FC, Slhessarenko RD. Molecular detection of Mayaro virus during a dengue outbreak in the state of Mato Grosso, Central-West Brazil. Mem Inst Oswaldo Cruz 2014;109:820-3.
2Wiwanitkit V. Dengue fever: Diagnosis and treatment. Expert Rev Anti Infect Ther 2010;8:841-5.
3Halsey ES, Siles C, Guevara C, Vilcarromero S, Jhonston EJ, Ramal C, et al. Mayaro virus infection, Amazon Basin region, Peru, 2010-2013. Emerg Infect Dis 2013;19:1839-42.