Vertical Transmission of Dengue

Dengue, an important mosquito-borne flavivirus infection, is endemic in Southeast Asia. We describe two mothers who had acute dengue 4 and 8 days before the births of their infants. One mother had worsening of her proteinuric pregnancy-induced hypertension, liver dysfunction, and coagulopathy and re...

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Veröffentlicht in:Clinical infectious diseases 1997-12, Vol.25 (6), p.1374-1377
Hauptverfasser: Chye, Joon K., Lim, Chin T., Ng, Kwee B., Lim, Jason M. H., George, Rebecca, Lam, Sai K.
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container_end_page 1377
container_issue 6
container_start_page 1374
container_title Clinical infectious diseases
container_volume 25
creator Chye, Joon K.
Lim, Chin T.
Ng, Kwee B.
Lim, Jason M. H.
George, Rebecca
Lam, Sai K.
description Dengue, an important mosquito-borne flavivirus infection, is endemic in Southeast Asia. We describe two mothers who had acute dengue 4 and 8 days before the births of their infants. One mother had worsening of her proteinuric pregnancy-induced hypertension, liver dysfunction, and coagulopathy and required multiple transfusions of whole blood, platelets, and fresh frozen plasma. Her male infant was ill at birth, developed respiratory distress and a large uncontrollable left intracerebral hemorrhage, and died of multiorgan failure on day 6 of life. Dengue virus type 2 was isolated from the infant's blood, and IgM antibody specific to dengue virus was detected in the mother's blood. The second mother had a milder clinical course; she gave birth to a female infant who was thrombocytopenic at birth and had an uneventful hospitalization. Dengue virus type 2 was recovered from the mother's blood, and IgM antibody specific to dengue virus was detected in the infant's blood. This report highlights not only the apparently rare occurrence of vertical transmission of dengue virus in humans but also the potential risk of death for infected neonates.
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source MEDLINE; JSTOR Archive Collection A-Z Listing; Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals
subjects Acute Disease
Adult
Antibodies
Arboviroses
Biological and medical sciences
Blood
Clinical Articles
Dengue
Dengue - transmission
Dengue - virology
Dengue fevers
Dengue virus
Diseases
Female
Human viral diseases
Humans
Infant, Newborn
Infants
Infections
Infectious Disease Transmission, Vertical
Infectious diseases
Male
Medical sciences
Platelets
Polymerase Chain Reaction
Pregnancy
Pregnancy Complications, Infectious - virology
Tropical medicine
Tropical viral diseases
Vertical disease transmission
Viral diseases
Viruses
title Vertical Transmission of Dengue
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