Dengue and Chikungunya Coinfection Associated with Multi Organ Dysfunction Syndrome and Ttp: A Case Report
Bibliographic record
Abstract
Aim: Dengue (DENV) and chikungunya (CHIKV) fever are the two serious arboviral diseases presenting as self-limiting acute febrile illness reporting over 1,00,000 cases in a year. Dengue and chikungunya fever can transmit through the same vector and share similar symptoms, ruling out the diagnosis and its timely management could be time consuming. Presentation of Case: Here we discuss a case of dengue and chikungunya coinfection associated with Thrombotic Thrombocytopenic Purpura (TTP) in an adult Indian female presented with acute febrile illness that later on progressed to Multi Organ Dysfunction Syndrome affecting brain, kidney, lungs and haematological system. Discussion and Conclusion: We discuss the diagnostic approaches, management of this complicated case and would like to generate an awareness regarding the coinfection of these viruses, their complications leading to multiorgan damage.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.003 |
| Meta-epidemiology (narrow) | 0.002 | 0.002 |
| Meta-epidemiology (broad) | 0.002 | 0.001 |
| Bibliometrics | 0.004 | 0.002 |
| Science and technology studies | 0.004 | 0.002 |
| Scholarly communication | 0.003 | 0.004 |
| Open science | 0.001 | 0.003 |
| Research integrity | 0.006 | 0.005 |
| Insufficient payload (model declined to judge) | 0.004 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".