A case of DENV and SARS-CoV-2 coinfection in Indonesia: The challenge of a dual outbreak?

Indonesia, as the world does, is currently facing the coronavirus disease 2019 (COVID-19) pandemic. Indonesia is a tropical, dengue virus (DENV)-endemic country where year-long cases of DENV occur, particularly in the rainy season. Thus, the country is on the brink of facing the “dual outbreak” of COVID-19 and dengue fever (DF). We report a case of coinfection between SARS-CoV-2 and DENV in a 39-year-old man initially diagnosed with DENV infection and with no suspicion of COVID-19, who later developed respiratory symptoms. Further tests confirmed the SARS-CoV-2 infection, and the patient was finally diagnosed with COVID-19 and DF coinfection. As both viruses may possess similar clinical and laboratory profiles at the time of presentation, it is important to recognize the clues of single and coinfection by the two viruses to ensure timely management, particularly in patients with COVID-19.