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Table 4 Clinical characteristics based on disease severitya: Comparison between DENV co-infections and mono-infections

From: Impact of dengue virus (DENV) co-infection on clinical manifestations, disease severity and laboratory parameters

Characteristic

All patients

(n = 262) (%)

All mono-infections

(n = 222) (%)

All co-infectionsb

(n = 40) (%)

OR (95 % CI)

DENV-1 mono-infections

(n = 170) (%)

DENV-1 co-infectionsc

(n = 39) (%)

OR (95 % CI)

DENV-2 mono-infections

(n = 44) (%)

DENV-2 co-infectionsd

(n = 35) (%)

OR (95 % CI)

Any warning signs

204 (77.9)

168 (75.7)

36 (90)

2.89 (0.99-8.50)*

134 (78.8)

35 (89.7)

2.35 (0.78-7.05)

29 (65.9)

32 (91.4)

5.52 (1.45-21.02)*

Persistent vomiting

114 (43.5)

99 (44.6)

15 (37.5)

0.75 (0.37-1.49)

82 (48.2)

15 (38.5)

0.67 (0.33-1.37)

14 (31.8)

13 (37.1)

1.27 (0.50-3.22)

Abdominal pain/tenderness

119 (45.4)

100 (45)

19 (47.5)

1.10 (0.56-2.17)

81 (47.6)

19 (48.7)

1.04 (0.52-2.09)

17 (38.6)

16 (45.7)

1.34 (0.54-3.29)

Mucosal bleeding

64 (24.4)

52 (23.4)

12 (30)

1.40 (0.67-2.95)

38 (22.4)

12 (30.8)

1.54 (0.72-3.33)

10 (22.7)

12 (34.3)

1.77 (0.66-4.78)

Tender hepatomegaly

9 (3.4)

7 (3.2)

2 (5)

1.62 (0.32-8.08)

3 (1.8)

2 (5.1)

3.01 (0.49-18.65)

4(9.1)

2 (5.7)

0.61 (0.10-3.52)

Pleural effusion

6 (2.3)

2 (0.9)

4 (10)

12.22 (2.16-69.19)*

2 (1.2)

4 (10.3)

9.6 (1.69-54.48)*

0

4 (11.4)

OR Undefined*

( p = 0.035)

Increasing haematocrit with decreasing platelets

64 (24.4)

52 (23.4)

12 (30)

1.40 (0.67-2.95)

41 (24.1)

11 (28.2)

1.24 (0.57-2.70)

10 (22.7)

11 (31.4)

1.56 (0.57-4.25)

Any severe dengue manifestations

17 (6.5)

11 (5)

6 (15)

3.39 (1.174-9.76)*

9 (5.3)

6 (15.4)

3.25 (1.08-9.76)*

1 (2.3)

5 (14.3)

7.17 (0.80-64.49)

Shock

4 (1.5)

3 (1.4)

1 (2.5)

1.87 (0.19-18.46)

2 (1.2)

1 (2.6)

2.21 (0.20-25.01)

1 (2.3)

0

OR Undefined

Fluid accumulation with respiratory distress

7 (2.7)

3 (1.4)

4 (10)

8.11 (1.74-37.76)*

3 (1.8)

4 (10.3)

6.36 (1.36-29.70)*

0

4 (11.4)

OR Undefined*

( p = 0.035)

Severe bleeding

2 (0.8)

2 (0.9)

0

OR Undefined

1 (0.6)

0

OR Undefined

0

0

NA

Severe organ involvement

9 (3.4)

7 (3.2)

2 (5.0)

1.62 (0.32-8.08)

7 (4.1)

2 (5.1)

1.26 (0.25-6.31)

0

2 (5.7)

OR Undefined

ICU

4 (1.5)

4 (1.8)

0

OR Undefined

4 (2.4)

0

OR Undefined

0

0

NA

Oxygen supplementation

7 (2.7)

5 (2.3)

2 (5)

2.28 (0.43-12.20)

5 (2.9)

2 (5.1)

1.78 (0.33-9.55)

0

2 (5.7)

OR Undefined

Mechanical ventilation

4 (1.5)

4 (1.8)

0

OR Undefined

4 (2.4)

0

OR Undefined

0

0

NA

Hospitalization > 3 days

96 (36.6)

84 (37.8)

12 (30)

0.70 (0.34-1.46)

60 (35.3)

12 (30.8)

0.82 (0.39-1.72)

21 (47.7)

11 (31.4)

0.50 (0.20-1.27)

  1. Bold* type represents significance at p < 0.05. aDisease severity is based on WHO (2009) classification plus additional clinical criteria
  2. bDENV-1/DENV-2 (n = 34), DENV-1/DENV-3 (n = 5), DENV-2/DENV-3 (n = 1); cDENV-1/DENV-2 (n = 34), DENV-1/DENV-3 (n = 5); dDENV-2/DENV-1 (n = 34), DENV-2/DENV-3 (n = 1),