30-fold) in recent years, alongside the geographical expansion of Aedes mosquitoes. Increased dengue disease severity correlated with high viremia titer, secondary dengue virus infection, and DEN-2 virus type. In humans, 9 recovery from infection by one serotype provides lifelong immunity against that 10 It is caused by any of four dengue virus serotypes, each of which can cause dengue fever or severe dengue. , HLA-A and -B allele associations with secondary dengue virus infections correlate with disease severity and the infecting viral serotype in ethnic Thais. Dengue is a mosquito-transmitted virus and the leading cause of arthropod-borne viral disease in the world. Dengue Hemorrhagic Fever --- U.S.-Mexico Border, 2005. 1 … Evaluation of the Traditional and Revised WHO Classifications of Dengue Disease Severity. In addition to different serotypes, different genotypes circulate as well and are associated with varying degrees of disease severity. In total, 15 patients were co-infected with more than one dengue serotype and 12 (80%) of them had severe dengue. In this study, we examined the circulating dengue virus (DENV) and measured plasma levels of inflammatory mediators. Dengue serotype-specific differences in clinical manifestation, laboratory parameters and risk of severe disease in adults, Singapore. Others have more severe illness (5%), and in a small proportion it is life-threatening. Dengue viremia titer, antibody response pattern, and virus serotype correlate with disease severity. Higher peak titers were associated with increased disease severity for the 31 patients with a peak titer identified (mean titer of 107.6 for those with dengue fever vs. 108.5 for patients with DHF, P=.01). 2006. An unmatched case-control study was conducted on 123 severe cases, and 245 controls (non-severe cases) diagnosed during 2014–2016. Symptomatic dengue infection is a systemic and dynamic disease. “In 2018, the National Dengue Virus Serotype Surveillance showed that severe dengue cases were caused by a mixture of different dengue viruses, … Currently there is a co-circulation of the four dengue serotypes after DENV-4 was reintroduced in 2010 [ 6, 7, 8, 9 ]. Takeda's tetravalent dengue vaccine candidate (TAK-003) is based on a live-attenuated dengue serotype 2 virus, which provides the genetic “backbone” for all four vaccine viruses. Sanofi Pasteur has started producing its experimental dengue vaccine, the world's first, which it hope to launch in 2015. The observation that prior ZIKV infection can modulate dengue disease severity like a DENV serotype poses challenges to development of dengue and Zika vaccines. A small percentage of persons who have previously been infected by one dengue serotype develop bleeding and endothelial leak upon infection with another dengue serotype. The present study found that cases of DENV-2 had a higher proportion of severe dengue than among those of DENV-1 and DENV-4. The co-circulation of multiple dengue serotypes is a population-level risk factor for severe dengue disease because of the increased likelihood of a second or subsequent infection, and also due to the fact that sequential infections are associated with increased severity . The burden of dengue, severe dengue, and mortality was noted especially in the districts of the east coast of Sabah. Determination of the infecting serotype may be important in gauging the potential severity of a dengue outbreak. There has been a dramatic increase in the number of cases and the severity of the disease in the past 30 years. In addition, testing for infecting serotype and monitoring platelet count and serum albumin, AST, and ALT concentrations during the febrile phase of illness could improve the early prediction of severe dengue. Dengue is the fastest spreading mosquito-borne viral disease and was one of the WHO’s top 10 threats to global health in 2019. Dynamics of Dengue Disease Severity Determined by the Interplay Between Viral Genetics and Serotype-Specific Immunity. We report a 4.7 fold increased risk of severe dengue in patients who had a serologically documented history of previous dengue infection, in accordance with the Antibody-Dependent Enhancement (ADE) theory stating that secondary dengue infections are usually more severe . Dengue fever (DF) is a mosquito borne infection caused by four antigenically distinct virus serotypes, namely DENV-1 to 4. It has a wide clinical spectrum that includes both severe and non-severe clinical manifestations (1). The total number of cases of non-hospitalized dengue fever (DF), hospitalized DF, and dengue hemorrhagic fever (DHF) are shown by dengue (DENV) serotype (3a). Dengue is a positive-sense RNA virus belonging to the Flaviviridae family. The development and validation of a one-step, real-time, and quantitative dengue virus serotype-specific reverse transcription-loop-mediated isothermal amplification (RT-LAMP) assay targeting the 3′ noncoding region for the rapid detection and differentiation of dengue virus serotypes are reported. Results: Of the 248 patients with laboratory-confirmed dengue and defined serological and clinical classifications 29 (11.7%) had primary DF, 150 (60.5%) had secondary DF, 4 (1.6%) had primary DHF and 65 (26.2%) had secondary DHF. PDF. Place and duration of study: Services Institute of Medical Science and Fatima Memorial Hospital, Lahore, from September to December 2010. Immune gene expression changes during progression to severe dengue … Takeda's tetravalent dengue vaccine candidate (TAK-003) is based on a live-attenuated dengue serotype 2 virus, which provides the genetic "backbone" for all four vaccine viruses. 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