%0 Journal Article
%T Severe coinfection of melioidosis and dengue fever in northeastern Brazil: first case report
%A Macedo
%A Rafael Nogueira
%A Rocha
%A Felipe Araujo
%A Rolim
%A Dionne Bezerra
%A Vilar
%A Dina Cortez Lima Feitosa
%A Ara¨²jo
%A Fernanda Montenegro de Carvalho
%A Vieira
%A N¨¦lia Nogueira
%A Teixeira
%A Juliana Rodrigues
%A Carvalho
%A Ma¨ªza Colares
%A Oliveira
%A Francisco George Magalh£¿es
%A Cavalcanti
%A Luciano Pamplona de G¨®es
%J Revista da Sociedade Brasileira de Medicina Tropical
%D 2012
%I Sociedade Brasileira de Medicina Tropical - SBMT
%R 10.1590/S0037-86822012000100028
%X this report focuses on a fatality involving severe dengue fever and melioidosis in a 28-year-old truck driver residing in pacoti in northeastern brazil. he exhibited long-term respiratory symptoms (48 days) and went through a wide-ranging clinical investigation at three hospitals, after initial clinical diagnoses of pneumonia, visceral leishmaniasis, tuberculosis, and fungal sepsis. after death, burkholderia pseudomallei was isolated in a culture of ascitic fluid. dengue virus type 1 was detected by polymerase chain reaction in cerebrospinal fluid (csf); this infection was the cause of death. this description reinforces the need to consider melioidosis among the reported differential diagnoses of community-acquired infections where both melioidosis and dengue fever are endemic.
%K melioidosis
%K dengue fever
%K coinfection.
%U http://www.scielo.br/scielo.php?script=sci_abstract&pid=S0037-86822012000100028&lng=en&nrm=iso&tlng=en