Dengue virus infection and neurological manifestations: an update

Fong, Si-Lei and Wong, Kum-Thong and Tan, Chong-Tin (2024) Dengue virus infection and neurological manifestations: an update. Brain, 147 (3). pp. 830-838. ISSN 0006-8950, DOI https://doi.org/10.1093/brain/awad415.

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Official URL: https://doi.org/10.1093/brain/awad415

Abstract

Dengue virus is a flavivirus transmitted by the mosquitoes, Aedes aegypti and Aedes albopictus. Dengue infection by all four serotypes (DEN 1 to 4) is endemic globally in regions with tropical and subtropical climates, with an estimated 100-400 million infections annually. Among those hospitalized, the mortality is about 1%. Neurological involvement has been reported to be about 5%. The spectrum of neurological manifestations spans both the peripheral and central nervous systems. These manifestations could possibly be categorized into those directly related to dengue infection, i.e. acute and chronic encephalitis, indirect complications leading to dengue encephalopathy, and post-infectious syndrome due to immune-mediated reactions, and manifestations with uncertain mechanisms, such as acute transverse myelitis, acute cerebellitis and myositis.The rising trend in global dengue incidence calls for attention to a more explicit definition of each neurological manifestation for more accurate epidemiological data. The actual global burden of dengue infection with neurological manifestation is essential for future planning and execution of strategies, especially in the development of effective antivirals and vaccines against the dengue virus.In this article, we discuss the recent findings of different spectrums of neurological manifestations in dengue infection and provide an update on antiviral and vaccine development and their challenges. Dengue is endemic in tropical and subtropical regions. Fong et al. review neurological manifestations directly and indirectly related to dengue virus infection, and discuss progress and challenges in the development of antivirals and vaccines.

Item Type: Article
Funders: UNSPECIFIED
Uncontrolled Keywords: dengue; encephalitis; neurological manifestations
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Medicine > Medicine Department
Faculty of Medicine > Pathology Department
Universiti Malaya Medical Centre (UMMC)
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 15 Nov 2024 01:22
Last Modified: 15 Nov 2024 01:22
URI: http://eprints.um.edu.my/id/eprint/45956

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