• DOI:10.4038/CMJ.V53I3.252
• Corpus ID: 6418857

Laboratory confirmation of dengue and chikungunya co-infection.

@article{Hapuarachchi2008LaboratoryCO,
  title={Laboratory confirmation of dengue and chikungunya co-infection.},
  author={Hapuarachchige Chanditha Hapuarachchi and K. A. S. Bandara and Menaka D Hapugoda and S. Williams and Wimaladharma Abeyewickreme},
  journal={The Ceylon medical journal},
  year={2008},
  volume={53 3},
  pages={
          104-5
        }
}

• H. Hapuarachchi, K. Bandara, +2 authors W. Abeyewickreme
• Published 17 December 2008
• Medicine
• The Ceylon medical journal

In November 2006, a 70-year old man presented with a history of high fever, severe headache and arthralgia of knees, and small joints of his hands and feet of 3 days’ duration. On examination, the patient had mild swelling of the small joints of hands. There was no skin rash, bleeding into skin or mucosal membranes. His blood analysis showed a leucopenia (WBC 3.04 x 103 per μl) with a relative lymphocytosis (51%). The total platelet count was 115 x 103 per μl. The haemoglobin was 14.3 g / dl with a packed cell volume of 43.8%. The first-hour erythrocyte sedimentation rate, serum alanine transaminase level and urine analysis were normal.