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[Correspondence] Uncommon presentation of Zika fever or co-infection? – Authors’ reply

We thank Didier Musso and colleagues for their interest in our Correspondence1 and their thoughtful comments. In our patient, diagnosis at disease onset was confined to Zika virus PCR in Suriname, at which point in time the likelihood of a malaria co-infection was limited because all signs and symptoms were satisfactorily explicable by a Zika virus infection. The diagnosis was beyond doubt confirmed by PCR analysis of blood (in Suriname) and then later of urine (in Europe). 2 weeks after disease onset, the patient was afebrile and otherwise paucisymptomatic as described.