2013
DOI: 10.1097/qco.0b013e32835fb938
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The pathogenesis of dengue

Abstract: The pathogenesis of dengue is likely to be a complex interplay of host immunity and genetic predisposition combined with certain viral virulence factors. Better understanding of the underlying mechanisms leading to severe dengue is crucial if we are to develop prognostic markers, novel diagnostics and therapeutics and ultimately a balanced and safe vaccine.

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Cited by 64 publications
(52 citation statements)
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“…It is remarkable that so much dengue pathogenesis research effort over the past 45 years has focused on mechanisms that address only sequential DENV and ignore primary DHF/DSS infection in infants. These mechanisms, exaggerated or abnormal T cell responses, and autoimmune responses evoked by DENV antigens are well described in many reviews (89)(90)(91). During the decade of the 1970s, several experimental observations led to an explanatory hypothesis that was able to accommodate both groups of cases.…”
Section: Dengue Pathogenesis: Looking To the Futurementioning
confidence: 99%
“…It is remarkable that so much dengue pathogenesis research effort over the past 45 years has focused on mechanisms that address only sequential DENV and ignore primary DHF/DSS infection in infants. These mechanisms, exaggerated or abnormal T cell responses, and autoimmune responses evoked by DENV antigens are well described in many reviews (89)(90)(91). During the decade of the 1970s, several experimental observations led to an explanatory hypothesis that was able to accommodate both groups of cases.…”
Section: Dengue Pathogenesis: Looking To the Futurementioning
confidence: 99%
“…Four distinct serotypes of DENV exist (DENV1-4; 65% conservation 1 ), each capable of causing disease following transmission by the arthropod vectors Aedes aegypti or Aedes albopictus. [2][3][4] Although the large majority of primary infections are asymptomatic, DENV infections can cause a flu-like illness characterized by fever, fatigue, muscle pains, and rash and, in a small proportion of infected individuals, a severe form of disease called dengue hemorrhagic fever. 2,3 Immunological memory protects individuals from reinfection with the same but not distinct serotypes and the more severe forms of disease most often occur during secondary infection with a different serotype.…”
Section: Introductionmentioning
confidence: 99%
“…(4) Plasma leakage usually occurs when fever is decreased in the critical phase and reaches its peak on the fifth day after the onset of fever. (5)(6)(7) In the critical phase, plasma leakage can lead to worse conditions that can cause shock and death. Since plasma leakage is the main characteristic of DHF or dengue shock syndrome (DSS), it will be a great indicator for determining DHF severity.…”
Section: Introductionmentioning
confidence: 99%