A Case of Dengue Co-infection with Microfilaria

Filariasis is one of the leading causes of long term and permanent disability worldwide. One of the main problem of the disease is that it remains dormant for years but the person is still capable of transmitting the infection to others. Over the past few years dengue has emerged as a rapidly growing and widespread public health problem, with more than half of the world’s population and countries at risk. Majority of cases are subclinical i.e., they are asymptomatic or present with mild flu-like symptoms which are often misdiagnosed as acute febrile illness leading to delay of treatment. Here, authors report a case of 20-year-old male, presented with continuous high grade fever for three days associated with severe headache and generalised body pain. On examination, patient was febrile and all vitals were normal. Laboratory results showed thrombocytopenia, increased haematocrit and peripheral smear findings showed leukopenia, thrombocytopenia and eosinophilia with microfilaria. Hence, this is a case of incidental finding of concurrent infection of dengue with microfilaria.