Neurological Manifestations of Perinatal Dengue.
Antibody-dependent enhancement
CYD-TDV (Dengvaxia)
Congenital dengue
Dengue encephalitis
IgM:IgG ratio
NS1Ag
Neonate
Neurotropism
TAK-003
Vertical transmission
Journal
Newborn (Clarksville, Md.)
ISSN: 2769-514X
Titre abrégé: Newborn (Clarksville)
Pays: United States
ID NLM: 9918418384706676
Informations de publication
Date de publication:
2023
2023
Historique:
medline:
10
8
2023
pubmed:
10
8
2023
entrez:
10
8
2023
Statut:
ppublish
Résumé
Dengue viruses (DENVs) are single-stranded RNA viruses belonging to the family Flaviviridae. There are four distinct antigenically related serotypes, DENVs types 1, 2, 3, and 4. These are all mosquito-borne human pathogens. Congenital dengue disease occurs when there is mother-to-fetus transmission of the virus and should be suspected in endemic regions in neonates presenting with fever, maculopapular rash, and thrombocytopenia. Although most of the infected infants remain asymptomatic, some can develop clinical manifestations such as sepsis-like illness, gastric bleeding, circulatory failure, and death. Neurological manifestations include intracerebral hemorrhages, neurological malformations, and acute focal/disseminated encephalitis/encephalomyelitis. Dengue NS1Ag, a highly conserved glycoprotein, can help the detection of cases in the viremic stage. We do not have proven specific therapies yet; management is largely supportive and is focused on close monitoring and maintaining adequate intravascular volume.
Identifiants
pubmed: 37559696
doi: 10.5005/jp-journals-11002-0066
pmc: PMC10411360
mid: NIHMS1914674
doi:
Types de publication
Journal Article
Langues
eng
Pagination
158-172Subventions
Organisme : NIAID NIH HHS
ID : R01 AI109001
Pays : United States
Déclaration de conflit d'intérêts
Conflict of interest: Dr Akhil Maheshwari is associated as Editor-in-Chief of this journal and this manuscript was subjected to this journal’s standard review procedures, with this peer review handled independently of the Editor-in-Chief and his research group.
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