Sepsis with Triple Tropical Co-infection in Assam: A Rare Case Report

A bstract Tropical infections are the leading causes for acute undifferentiated febrile illness in India. Malaria, dengue, chikungunya, scrub typhus, leptospirosis, enteric fever, and seasonal influenza are the commonest causes of acute febrile illness in tropical and sub-tropical regions including North Eastern states of India. Co-infection is not uncommon in tropical regions, which can cause significant impacts on disease severity and its outcome and can pose challenges for diagnosis and management. This report aims to increase the attention of the physicians in considering the possibility of co-infections amounting to differential diagnosis and the use of specific diagnostic methods for prompt recognition and early treatment in such cases.