Dengue, chikungunya and Zika co-infection in a patient from Colombia

Abstract

In Latin America, until 2014, dengue (DENV) was the only virus transmitted significantly by Aedes spp. [1]. Unfortunately since that year, chikungunya (CHIKV) arrived as a relevant secondary arboviral disease, with the possibility of co-circulation in endemic zones as well even of co-infections [1] and [2]. Nevertheless, after more than a year of co-circulation of both arboviruses, there has been a lack of reports of such co-infections in the region [2]. In addition to this during May 2015 first cases of infection due to Zika virus (ZIKV) were reported in Brazil and later [3], in September, in Colombia. Thus, imposing the co-circulation of these three arboviruses and also the possibility, none previously reported in other regions of the world, such as the Pacific or Asia, of co-infections of all of them in the same patients. This last, is herein reported.