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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Main Authors: Chye, J.K., Lim, C.T., Ng, K.B., Lim, J.M., George, R., Lam, S.K.
Format: Article
Published: Oxford University Press 1997
Subjects:
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author Chye, J.K.
Lim, C.T.
Ng, K.B.
Lim, J.M.
George, R.
Lam, S.K.
author_facet Chye, J.K.
Lim, C.T.
Ng, K.B.
Lim, J.M.
George, R.
Lam, S.K.
author_sort Chye, J.K.
collection UM
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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spelling um.eprints-3622021-04-21T04:04:11Z http://eprints.um.edu.my/362/ Vertical transmission of dengue Chye, J.K. Lim, C.T. Ng, K.B. Lim, J.M. George, R. Lam, S.K. R Medicine (General) 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. Oxford University Press 1997-12 Article PeerReviewed Chye, J.K. and Lim, C.T. and Ng, K.B. and Lim, J.M. and George, R. and Lam, S.K. (1997) Vertical transmission of dengue. Clinical Infectious Diseases, 25 (6). pp. 1374-1377. ISSN 1058-4838, DOI 9431381. http://www.ncbi.nlm.nih.gov/pubmed/9431381 9431381
spellingShingle R Medicine (General)
Chye, J.K.
Lim, C.T.
Ng, K.B.
Lim, J.M.
George, R.
Lam, S.K.
Vertical transmission of dengue
title Vertical transmission of dengue
title_full Vertical transmission of dengue
title_fullStr Vertical transmission of dengue
title_full_unstemmed Vertical transmission of dengue
title_short Vertical transmission of dengue
title_sort vertical transmission of dengue
topic R Medicine (General)
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