Barely Significant
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Dengue virus co-infections with multiple serotypes do not result in a different clinical outcome compared to mono-infections.

Epidemiol Infect · 2020 · PMC7325333 · PMID 32594967

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a strong trendno p-value reported
Thus, there is a strong trend towards the most predominant circulating DENV serotype to be present in more co-infections [ 14 , 23 – 27 ].

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.