Dengue and leptospirosis coinfection in a pregnant woman with acute febrile illness

Garcia B.W.A.; Lopez C.M.S.; Alburqueque-Melgarejo J.; Quezada J.C.R.; Valencia J.G. · Revista Cubana de Medicina Militar (2025)

Resumen

Introduction: Dengue and leptospirosis are common causes of acute febrile illness in patients in developing countries. Co-infection with these entities has a high mortality rate if not suspected early. Objective: To perform the clinical approach to a pregnant patient with dengue and leptospirosis coinfection. Clinical Case: This manuscript presents the case of a pregnant patient with an acute febrile illness, which turned out to be a co-infection with dengue and leptospirosis, who presented multiple organ failure during hospitalization. However, the patient recovered due to the timely management of these entities. Conclusions: Coinfection in pregnant women is rarely described in the literature, but a high level of suspicion should be maintained as symptoms may overlap with other obstetric conditions. Timely diagnosis and management are important to significantly reduce severity and mortality.

Instituciones: Universidad Científica del Sur; Universidad Ricardo Palma; Universidad Nacional de Ucayali; Universidad Privada del Norte