English abstract
The spectrum of tropical nephropathies includes Acute Renal
Failure (ARF) or Acute Kidney Injury (AKI) due to infective
agents that are endemic in the tropics which include Leptospira
(LS) and Dengue Viruses (DV). The major histological feature is
Acute Tubular Necrosis (ATN).1, 2
We report the case of a patient who presented ARF with coinfection with both agents. The clinical manifestations were
consistent with both diseases. A renal treatment was supportive
and the outcome was positive.
We conclude that co-infection with these two tropical agents was
possible. It may have been overlooked when the diagnosis of one
agent was confirmed, especially that aware of the possibility of coinfection, as the management may be different. Spontaneous full
recovery in these circumstances is still possible with supportive
treatment.
