Case study Hyperinflammatory syndrome: Two viruses, similar story

摘要: Objective: In countries where the co-existence of both dengue fever and COVID-19 infection is predominant, it is often difficult to clinically distinguish between the two entities. The present study highlights the similarities and differences between these viral diseases in two cases.Results: The first case was of a 38-year-old hypertensive and diabetic female, diagnosed with dengue hemorrhagic fever with leucopenia and thrombocytopenia (26000/mm 3). HRCT chest revealed diffuse mosaic attenuation and small pleural effusion in both lower lobes. Elevation in D-dimer and deranged liver function test were noted. One-month follow-up revealed that she had persistent fever, fatigue, and musculoskeletal and psychological symptoms. Her symptoms improved with hydroxychloroquine 400 mg/day and a tapering course of steroids.