A Case of Mixed Infections in a Patient Presenting with Acute Febrile Illness in the Tropics

Table 1

Laboratory results on the first, third, and eighth day of hospitalization, respectively.

Laboratory result	Reference range	Day of illness (day of hospitalization)*
		6 (1)	8 (3)	13 (8)
Hemoglobin	13.0–17.0 g/dL	13.8	13.4	13.7
Total white cells count	4.0–11.0 × 10^9/L	6.4	5.5	8.3
Platelet count	150–400 × 10^9/L	67	80	179
Hematocrit	40–50%	40.9	39.2
Serum creatinine	74–110 umol/L	101	102
Blood urea	2.8–7.2 mmol/L	2.3	4.2
Serum alanine transaminase	<45 U/L	55	40
Dengue IgM (ELISA)		Positive
Leptospira IgM rapid test			Positive
Leptospira titer (MAT)			1 : 400	Clear
Blood film for malaria parasite			P. vivax detected.

∗Days 1, 3, and 8 of hospitalization corresponded with days 6, 8, and 13 since onset of fever, respectively.
MAT: microscopic agglutination test; P. vivax: Plasmodium vivax.