Abstract
Chikungunya (CHIKV) and dengue (DENV) fever are caused by arboviruses with a shared vector and often overlap in tropical endemic areas. COVID-19, caused by the SARS-CoV-2 virus, has a similar presentation to CHIKV and DENV. The case of a 39-year-old woman with a triple viral infection (DENV, CHIKV, and SARS-CoV-2) is presented. Co-infection with endemic viruses post-travel is likely underreported due to overlapping clinical presentations and timelines. Awareness of illness in returning travelers and prompt co-infection diagnosis are needed to optimize patient outcomes.
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