A Fatal Trio: Concurrent Infection with Malaria Parasite, Dengue and Influenza A (H1N1) Virus Together

There have been many case reports in the literature of mixed infection with two or more pathogenic organism including Dengue virus, Malaria parasite, Hepatitis virus, Scrub typhus, and Influenza virus but so far there have been no case reports of Dengue virus, Malaria parasite and influenza A (H1N1) virus concurrent infection together. The vector for all these three infections are different-Female anopheles mosquito for malaria, Aedes aegypti mosquito for dengue and direct or indirect contact and inhalation of virus laden aerosols for influenza. This case is unique because here mode of transmission is different yet the patient presented at the same time with this triad of infections and diagnosed on clinical suspicion.