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Correspondence to Author: Inayat Grewal  

DOI: 10.52338/joid.2024.4177

Inayat Grewal, MBBS, Government Medical College and Hospital, Sector 32, Chandigarh, India

Abstract:

Background Tropical infections are the leading cause of acute undifferentiated febrile illnesses (AUFI). While they are commonly suspected and tested through protocolized workup, sometimes the infections occur concurrently. Patients with concurrent infections present with atypical findings that delay diagnosis and treatment.
Case Report This case report describes a rare case of triple coinfection with an atypical clinical presentation. This patient presented with a fever in May and tested positive for Malaria. The patient was started on anti-malarial therapy. However, further workup revealed pancytopenia along with an abnormal renal and liver profile. Repeat testing for AUFI revealed concurrent scrub typhus as well as Leptospirosis. The treatment was accordingly adjusted, which led to recovery.
Conclusion Patients presenting with AUFI and having a residence or history of travel to endemic areas should be investigated for tropical infections. Moreover, a high index of suspicion should be borne in mind in cases of AUFI patients presenting with atypical signs and symptoms before ruling them out.

Citation:

Inayat Grewal. Pancytopenia unveils hidden coinfections of scrub typhus and leptospirosis in a malaria case. Journal of Infectious Diseases 2024.