Abstract
As the world struggles to deal with the consequences of the COVID-19 pandemic, dengue fever endemic regions are facing the threat of a double pandemic that might totally overwhelm administrations of health care service. In Latin America and Asia, simultaneous epidemics of dengue and COVID-19, as well as possible instances of co-infections, have already begun. Because the healthcare system is already stretched enough, a fatal combination like this may devastate hospital emergency departments and the economy as a whole. Frontline clinicians must use precise epidemiological and contact history-taking techniques, as well as pay close attention to false-positive dengue serology and the possibility of co-infections, to tackle this apparently overwhelming obstacle. Key words: Covid-19; Dengue fever; Co-infection; health system
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