Abstract

This rare case with multi-viral co-infection had been diagnosed in Au-gust 2018 in Patna, India. The depicted case was observed in seven-year-old girl child who manifested with unconsciousness along with fever, headache, weakness, body ache and irregular pupil movement. She had experienced intermittent abnormal body movement with star-ing look for every 3 hours. These symptoms were akin to epileptic sei-zures. Clinical investigations were advised with a strong suspicion of viral infection. Awfully, she was diagnosed with multi-viral co-infection including Japanese Encephalitis, Dengue, Chikungunya, Herpes Sim-plex Virus (HSV), Cytomegalovirus (CMV) and Rubella from both blood and Cerebrospinal fluid (CSF) samples. The infections were further confirmed by using reverse transcriptase polymerase chain reaction (RT-PCR). She got proper medication with antibiotic and antiviral cov-erage. She improved with complete cessation of seizures and was ad-vised to follow up after one month. Such incidences of multi-viral co-infections warrant focus on healthcare providers’ awareness in order to prevent its occurrence and severity of illness.

Key words: Multi-viral co-infection, Neurological disturbances, Seizure, Unconscious, Viral pathogens