{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T07:10:03Z","timestamp":1756278603545,"version":"3.44.0"},"reference-count":16,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,4,22]]},"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:p>Dengue and hantavirus are endemic in central Panama. We present a case report of a patient coinfected with dengue and hantavirus who presented overlapping clinical manifestations of both infections. The patient did not require intensive care\u2014as it is commonplace during hantavirus pulmonary syndrome\u2014and he had a good outcome. Patient\u2019s care was positively impacted due to correct diagnosis of coinfection. This case highlights that in endemic areas, coinfection with dengue virus and hantavirus should be suspected. To the best of our knowledge, this case is the first documented case of coinfection with dengue virus and hantavirus in Central America.<\/jats:p>","DOI":"10.1136\/bcr-2020-235779","type":"journal-article","created":{"date-parts":[[2021,5,19]],"date-time":"2021-05-19T13:40:16Z","timestamp":1621431616000},"page":"e235779","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Dengue and hantavirus coinfection with good outcomes: a clinical case from Panama"],"prefix":"10.1136","volume":"14","author":[{"given":"Virginia","family":"N\u00fa\u00f1ez-Samudio","sequence":"first","affiliation":[{"name":"Instituto de Ciencias M\u00e9dicas, Las Tablas, Los Santos, Panam\u00e1"},{"name":"Secci\u00f3n de Epidemiolog\u00eda, Departamento de Salud P\u00fablica, Regi\u00f3n de Salud de Herrera, Ministry of Health, Chitr\u00e9, Herrera, Panam\u00e1"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mart\u00edn","family":"Meza","sequence":"additional","affiliation":[{"name":"Secci\u00f3n de Epidemiolog\u00eda, Departamento de Salud P\u00fablica, Regi\u00f3n de Salud de Herrera, Ministry of Health, Chitr\u00e9, Herrera, Panam\u00e1"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6323-1170","authenticated-orcid":false,"given":"Iv\u00e1n","family":"Landires","sequence":"additional","affiliation":[{"name":"Instituto de Ciencias M\u00e9dicas, Las Tablas, Los Santos, Panam\u00e1"},{"name":"Centro Regional Universitario de Azuero, CRUA, Universidad de Panam\u00e1, Chitr\u00e9, Herrera, Panam\u00e1"},{"name":"Hospital Joaqu\u00edn Pablo Franco Sayas, Regi\u00f3n de Salud de Los Santos, Ministry of Health, Las Tablas, Los Santos, Panam\u00e1"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,5,19]]},"reference":[{"key":"2025082623512373000_14.5.e235779.1","unstructured":"World Health Organization . 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