Dengue virus in the brain of a fatal case of hemorrhagic dengue fever.
Neurologic complications associated with dengue fever are in general unusual. However, recent reports evidence more frequent neurologic alterations. In Mexico, neurologic involvement has not been reported in dengue cases. This report demonstrates the detection of dengue virus in the brain of a fatal case of dengue hemorrhagic fever. Serotype 4 was detected by immunohistochemistry and by RT-PCR in the inferior olivary nucleus of medulla and in the granular layer of cerebellum. Immunoreactivity was observed in neurons, astrocytes, microglia and endothelial cells. Our results emphasize the importance of neurologic manifestations in patients with dengue fever.
Depto. de Arbovirus, Centro de Investigaciones sobre Enfermedades Infecciosas, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, Mexico.
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C
Ramos
G
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Sánchez
R H
RH
Pando
J
J
Baquera
D
D
Hernández
J
J
Mota
J
J
Ramos
A
A
Flores
E
E
Llausás
D000293:Adolescent; D004279:DNA, Viral / Q000032:analysis; D003716:Dengue Virus / Q000235:genetics / Q000302:isolation & purification*; D018792:Encephalitis, Viral / Q000175:diagnosis*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D009847:Olivary Nucleus / Q000821:virology*; D020133:Reverse Transcriptase Polymerase Chain Reaction; D019595:Severe Dengue / Q000175:diagnosis*
D004279:DNA, Viral