Dengue Infection in a Human Immunodeficiency Virus-1 Positive Patient Chronically Infected with Hepatitis B Virus in Western Mexico

Iván Delgado-Enciso School of Medicine, University of Colima, Colima, México.
State Cancer Institute, Department of Health, Colima, México.

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Francisco Espinoza-Gómez School of Medicine, University of Colima, Colima, México.
Department of Internal Medicine, Regional Hospital of Colima, Department of Health, Colima, México.

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Rodolfo Ochoa-Jiménez Department of Internal Medicine, Regional Hospital of Colima, Department of Health, Colima, México.

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Salvador Valle-Reyes School of Medicine, University of Colima, Colima, México.

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Clemente Vásquez School of Medicine, University of Colima, Colima, México.

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Uriel A. López-Lemus School of Medicine, University of Colima, Colima, México.
Center for Gene Therapy, Hematologic Malignancies and Stem Cell Transplantation Institute, City of Hope, Duarte, California.

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Human immunodeficiency virus (HIV) and dengue coinfection has not been extensively studied. We report herein a case of dengue serotype 1 infection in an HIV-1-positive patient coinfected with hepatitis B virus (HBV) in Colima State, Mexico. CD4+ cells and HIV-1 viremia remained at normal levels, and no severe complications were observed during this multiple viral infection. The alanine transaminase and aspartate transaminase values were elevated before and during dengue infection. Surprisingly, these parameters were significantly reduced 2 months later. Because of the lack of evidence regarding this multiple viral interaction, further research is required to understand the biologic and clinical course of dengue infection in HIV-1/HBV coinfected patients, especially in tropical regions where dengue virus transmission is highly active.

Author Notes

* Address correspondence to Uriel A. López-Lemus, School of Medicine, University of Colima, Avenida Universidad 333, Las Viboras, 28040 Colima, Mexico. E-mail: lemus_a83@yahoo.com

Authors' addresses: Iván Delgado-Enciso, School of Medicine, Public Health, University of Colima, Colima, México and State Cancer Institute, Department of Health, Colima, México, E-mail: ivan_delgado_enciso@ucol.mx. Francisco Espinoza-Gómez, School of Medicine, Public Health, University of Colima, Avenida Universidad 333, Colima, México and Department of Internal Medicine, Regional Hospital of Colima, Department of Health, Colima, México, Email: fespin@ucol.mx. Rodolfo Ochoa-Jiménez, Department of Internal Medicine, Regional Hospital of Colima, Department of Health, Colima, México, E-mail: docochoa@hotmail.com. Salvador Valle-Reyes and Clemente Vásquez, School of Medicine, Public Health, University of Colima, Avenida Universidad 333, Colima, Mexico, E-mails: juanchavador@hotmail.com and clemvas@ucol.mx. Uriel A. López-Lemus, School of Medicine, Public Health, University of Colima, Avenida Universidad 333, Colima, Mexico and Biomedical Sciences, University of Colima, Colima, Mexico, E-mail: lemus_a83@yahoo.com.

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