Dengue: Breakbone fever, hemorrhagia or shock

Dengue virus infection has been endemic in Malaysia and in the region for decades and the disease caused by the virus has led to increased morbidity and mortality each year. Dengue is now endemic in more than 110 countries worldwide with two-fifths of the world's population at risk. Dengue feve...

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Main Author: Sekaran, Shamala Devi
Format: Article
Published: Faculty of Medicine, University of Malaya 2008
Subjects:
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author Sekaran, Shamala Devi
author_facet Sekaran, Shamala Devi
author_sort Sekaran, Shamala Devi
collection UM
description Dengue virus infection has been endemic in Malaysia and in the region for decades and the disease caused by the virus has led to increased morbidity and mortality each year. Dengue is now endemic in more than 110 countries worldwide with two-fifths of the world's population at risk. Dengue fever is a flu-like illness and clinical features vary with the age of the patient. Dengue haemorrhagic fever on the other hand, is characterized by high fever, haemorrhagic phenomena and in severe cases, circulatory failure. There is no specific treatment for dengue fever but careful clinical management frequently saves the lives of these patients. Vaccine development has been difficult as protection against one or two dengue viruses could actually increase the risk of more serious diseases. At present, the only method of preventing dengue is to combat the vector mosquitoes. Dengue is diagnosed by viral isolation and or serology. Current methods, some in-house and others commercial, are far from satisfactory. My laboratory has developed, evaluated and validated tests for dengue that now enable detection on the first day of illness in most cases. At the same time an important aspect of dengue prevention is protection. To this end, we have been investigating the various immune parameters such as T-cells, cytokines and antibody neutralizing activities to show that specific immune responses do occur in a selected Malaysian population which are HLA restricted, cytokine mediated and directed specifically at certain regions of the virus.
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spelling um.eprints-245312020-07-20T01:41:56Z http://eprints.um.edu.my/24531/ Dengue: Breakbone fever, hemorrhagia or shock Sekaran, Shamala Devi R Medicine Dengue virus infection has been endemic in Malaysia and in the region for decades and the disease caused by the virus has led to increased morbidity and mortality each year. Dengue is now endemic in more than 110 countries worldwide with two-fifths of the world's population at risk. Dengue fever is a flu-like illness and clinical features vary with the age of the patient. Dengue haemorrhagic fever on the other hand, is characterized by high fever, haemorrhagic phenomena and in severe cases, circulatory failure. There is no specific treatment for dengue fever but careful clinical management frequently saves the lives of these patients. Vaccine development has been difficult as protection against one or two dengue viruses could actually increase the risk of more serious diseases. At present, the only method of preventing dengue is to combat the vector mosquitoes. Dengue is diagnosed by viral isolation and or serology. Current methods, some in-house and others commercial, are far from satisfactory. My laboratory has developed, evaluated and validated tests for dengue that now enable detection on the first day of illness in most cases. At the same time an important aspect of dengue prevention is protection. To this end, we have been investigating the various immune parameters such as T-cells, cytokines and antibody neutralizing activities to show that specific immune responses do occur in a selected Malaysian population which are HLA restricted, cytokine mediated and directed specifically at certain regions of the virus. Faculty of Medicine, University of Malaya 2008 Article PeerReviewed Sekaran, Shamala Devi (2008) Dengue: Breakbone fever, hemorrhagia or shock. Journal of the University of Malaya Medical Centre (JUMMEC), 11 (2). pp. 39-52. ISSN 1823-7339, https://jummec.um.edu.my/article/view/4577
spellingShingle R Medicine
Sekaran, Shamala Devi
Dengue: Breakbone fever, hemorrhagia or shock
title Dengue: Breakbone fever, hemorrhagia or shock
title_full Dengue: Breakbone fever, hemorrhagia or shock
title_fullStr Dengue: Breakbone fever, hemorrhagia or shock
title_full_unstemmed Dengue: Breakbone fever, hemorrhagia or shock
title_short Dengue: Breakbone fever, hemorrhagia or shock
title_sort dengue breakbone fever hemorrhagia or shock
topic R Medicine
work_keys_str_mv AT sekaranshamaladevi denguebreakbonefeverhemorrhagiaorshock