Dengue severity associated with age and a new lineage of dengue virus-type 2 during an outbreak in Rio De Janeiro, Brazil

Dengue virus‐type 2 (DENV‐2) caused three outbreaks, in the years 1990, 1998, and 2008, in Rio de Janeiro, Brazil. The 2008 outbreak was the most severe in reported cases, hospitalizations, and deaths. To investigate virological and epidemiological factors that may have contributed to the pathogenic...

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Veröffentlicht in:Journal of medical virology 2016-07, Vol.88 (7), p.1130-1136
Hauptverfasser: Nunes, Priscila Conrado Guerra, Sampaio, Simone Alves Faria, Rodrigues da Costa, Nieli, de Mendonça, Marcos Cesar Lima, Lima, Monique da Rocha Queiroz, Araujo, Saraiva Eliane M, dos Santos, Flávia Barreto, Simões, Jaqueline Basto Santos, de Santis Gonçalves, Bianca, Nogueira, Rita Maria Ribeiro, de Filippis, Ana Maria Bispo
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container_end_page 1136
container_issue 7
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container_title Journal of medical virology
container_volume 88
creator Nunes, Priscila Conrado Guerra
Sampaio, Simone Alves Faria
Rodrigues da Costa, Nieli
de Mendonça, Marcos Cesar Lima
Lima, Monique da Rocha Queiroz
Araujo, Saraiva Eliane M
dos Santos, Flávia Barreto
Simões, Jaqueline Basto Santos
de Santis Gonçalves, Bianca
Nogueira, Rita Maria Ribeiro
de Filippis, Ana Maria Bispo
description Dengue virus‐type 2 (DENV‐2) caused three outbreaks, in the years 1990, 1998, and 2008, in Rio de Janeiro, Brazil. The 2008 outbreak was the most severe in reported cases, hospitalizations, and deaths. To investigate virological and epidemiological factors that may have contributed to the pathogenic profile of 2008 epidemic, 102 patients sera obtained during the epidemic and inter‐epidemic periods of three outbreaks were analysed by qRT‐PCR to estimate viremia levels and their correlation with the clinical, immunological, and demographic patient characteristics. DENV‐2 isolates from the outbreaks were sequenced. Two DENV‐2 lineages (I and II) of the American/Asian genotype were confirmed, each exclusive for 1990–2002 and 2007–2011, respectively. The mean viremia level in the 2008 samples was two orders of magnitude higher than that of the 1990–2002 samples. Severe dengue cases increased from 31% in 1990–2002 to 69% in 2007–2011; in patients aged ≤15 years, from 3% in 1990–2002 to 37% in 2007–2011. The DENV‐2 lineage II and younger age significantly contributed to the pathogenic profile of 2008 epidemic in Rio de Janeiro. J. Med. Virol. 88:1130–1136, 2016. © 2016 Wiley Periodicals, Inc.
doi_str_mv 10.1002/jmv.24464
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Med. Virol</addtitle><date>2016-07</date><risdate>2016</risdate><volume>88</volume><issue>7</issue><spage>1130</spage><epage>1136</epage><pages>1130-1136</pages><issn>0146-6615</issn><eissn>1096-9071</eissn><abstract>Dengue virus‐type 2 (DENV‐2) caused three outbreaks, in the years 1990, 1998, and 2008, in Rio de Janeiro, Brazil. The 2008 outbreak was the most severe in reported cases, hospitalizations, and deaths. To investigate virological and epidemiological factors that may have contributed to the pathogenic profile of 2008 epidemic, 102 patients sera obtained during the epidemic and inter‐epidemic periods of three outbreaks were analysed by qRT‐PCR to estimate viremia levels and their correlation with the clinical, immunological, and demographic patient characteristics. DENV‐2 isolates from the outbreaks were sequenced. Two DENV‐2 lineages (I and II) of the American/Asian genotype were confirmed, each exclusive for 1990–2002 and 2007–2011, respectively. The mean viremia level in the 2008 samples was two orders of magnitude higher than that of the 1990–2002 samples. Severe dengue cases increased from 31% in 1990–2002 to 69% in 2007–2011; in patients aged ≤15 years, from 3% in 1990–2002 to 37% in 2007–2011. The DENV‐2 lineage II and younger age significantly contributed to the pathogenic profile of 2008 epidemic in Rio de Janeiro. J. Med. Virol. 88:1130–1136, 2016. © 2016 Wiley Periodicals, Inc.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>27061403</pmid><doi>10.1002/jmv.24464</doi><tpages>7</tpages></addata></record>
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subjects Adolescent
Adult
Age Factors
Aged
Brazil - epidemiology
Dengue fever
dengue outbreaks
Dengue Virus - classification
Dengue Virus - genetics
Dengue Virus - pathogenicity
Disease Outbreaks
Epidemics - statistics & numerical data
Epidemiology
Female
Genotype
Genotype & phenotype
Humans
Male
Middle Aged
Phylogeny
qRT-PCR
RNA, Viral - blood
Severe Dengue - epidemiology
Severe Dengue - virology
Severity of Illness Index
viremia
Viremia - epidemiology
Viremia - virology
Virology
Young Adult
title Dengue severity associated with age and a new lineage of dengue virus-type 2 during an outbreak in Rio De Janeiro, Brazil
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