Authors:
, , , , , , , , , , , , , , , , , and
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Reference Manager
BibTeX
Zotero
EndNote
-
1.
Leung XY , Islam RM , Adhami M , Ilic D , McDonald L , Palawaththa S , Diug B , Munshi SU , Karim MN , 2023. A systematic review of dengue outbreak prediction models: Current scenario and future directions. PLoS Negl Trop Dis 17: e0010631.
-
2.
World Health Organization , 2023. Dengue—Global Situation. Available at: https://www.who.int/emergencies/disease-outbreak-news/item/2023-DON498. Accessed February 8, 2024.
-
3.
Fisher R , Lustig Y , Sklan EH , Schwartz E , 2023. The role of NS1 protein in the diagnosis of flavivirus infections. Viruses 15: 572.
-
4.
Soo KM , Khalid B , Ching SM , Chee HY , 2016. Meta-analysis of dengue severity during infection by different dengue virus serotypes in primary and secondary infections. PLoS One 11: e0154760.
-
5.
Adrizain R , Setiabudi D , Chairulfatah A , 2019. The inappropriate use of antibiotics in hospitalized dengue virus-infected children with presumed concurrent bacterial infection in teaching and private hospitals in Bandung, Indonesia. PLoS Negl Trop Dis 13: e0007438.
-
6.
Page MJ et al., 2021. PRISMA 2020 explanation and elaboration: Updated guidance and exemplars for reporting systematic reviews. BMJ 372: n160.
-
7.
Wallace BC , Dahabreh IJ , Trikalinos TA , Lau J , Trow P , Schmid CH , 2012. Closing the gap between methodologists and end-users: R as a computational back-end. J Stat Softw 49: 1–15.
-
8.
Wan X , Wang W , Liu J , Tong T , 2014. Estimating the sample mean and standard deviation from the sample size, median, range and/or interquartile range. BMC Med Res Methodol 14: 135.
-
9.
Cochrane Handbook for Systematic Reviews of Interventions Available at: https://training.cochrane.org/handbook. Accessed June 27, 2023.
-
10.
Joanna Briggs Institute JBI’s Tools Assess Trust, Relevance & Results of Published Papers: Enhancing Evidence Synthesis. JBI. Available at: https://jbi.global/critical-appraisal-tools. Accessed June 27, 2023.
-
11.
Kularatne SAM , Gawarammana IB , Kumarasiri PRV , 2005. Epidemiology, clinical features, laboratory investigations and early diagnosis of dengue fever in adults: A descriptive study in Sri Lanka. Southeast Asian J Trop Med Public Health 36: 686–692.
-
12.
Limkittikul K , Yingsakmongkon S , Jittmittraphap A , Chuananon S , Kongphrai Y , Kowasupathr S , Rojanawatsirivit C , Mammen MP Jr. , Jampangern W , 2005. Clinical differences among PCR-proven dengue serotype infections. Southeast Asian J Trop Med Public Health 36: 1432–1438.
-
13.
Singh NP , Jhamb R , Agarwal SK , Gaiha M , Dewan R , Daga MK , Chakravarti A , Kumar S , 2005. The 2003 outbreak of dengue fever in Delhi, India. Southeast Asian J Trop Med Public Health 36: 1174–1178.
-
14.
Lee IK , Liu JW , Yang KD , 2005. Clinical characteristics and risk factors for concurrent bacteremia in adults with dengue hemorrhagic fever. Am J Trop Med Hyg 72: 221–226.
-
15.
Sharma N , Mahi S , Bhalla A , Singh V , Varma S , Ratho RK , 2006. Dengue fever related acalculous cholecystitis in a north Indian tertiary care hospital. J Gastroenterol Hepatol 21: 664–667.
-
16.
Armien B , Suaya JA , Quiroz E , Sah BK , Bayard V , Marchena L , Campos C , Shepard DS , 2008. Clinical characteristics and national economic cost of the 2005 dengue epidemic in Panama. Am J Trop Med Hyg 79: 364–371.
-
17.
Chuansumrit A , Chaiyaratana W , Pongthanapisith V , Tangnararatchakit K , Lertwongrath S , Yoksan S , 2008. The use of dengue nonstructural protein 1 antigen for the early diagnosis during the febrile stage in patients with dengue infection. Pediatr Infect Dis J 27: 43–48.
-
18.
Lo CH , Ben RJ , Chen CD , Hsueh CW , Feng NH , 2009. Clinical experience of dengue fever in a regional teaching hospital in southern Taiwan. J Intern Med Taiwan 20: 248–254.
-
19.
Kularatne SAM , Gihan MC , Weerasinghe SC , Gunasena S , 2009. Concurrent outbreaks of chikungunya and dengue fever in Kandy, Sri Lanka, 2006–07: A comparative analysis of clinical and laboratory features. Postgrad Med J 85: 342–346.
-
20.
Humayoun MA , Waseem T , Jawa AA , Hashmi MS , Akram J , 2010. Multiple dengue serotypes and high frequency of dengue hemorrhagic fever at two tertiary care hospitals in Lahore during the 2008 dengue virus outbreak in Punjab, Pakistan. Int J Infect Dis IJID Off Publ Int Soc Infect Dis 14 (Suppl 3 ):e54–e59.
-
21.
Almas A , Parkash O , Akhter J , 2010. Clinical factors associated with mortality in dengue infection at a tertiary care center. Southeast Asian J Trop Med Public Health 41: 333–340.
-
22.
Mittal H , Faridi MMA , Arora SK , Patil R , 2012. Clinicohematological profile and platelet trends in children with dengue during 2010 epidemic in north India. Indian J Pediatr 79: 467–471.
-
23.
Bhattacharya N , Bandyopadhyay B , Bhattacharjee I , Mukherjee H , Talukdar S , Mondal R , Pramanick N , Chandra G , Hati AK , 2013. Retrospective analysis of dengue specific IgM reactive serum samples. Asian Pac J Trop Dis 3: 143–145.
-
24.
Nasim A , Anis S , Baqi S , Akhtar SF , Baig-Ansari N , 2013. Clinical presentation and outcome of dengue viral infection in live-related renal transplant recipients in Karachi, Pakistan. Transpl Infect Dis Off J Transplant Soc 15: 516–525.
-
25.
Ho TS , Wang SM , Lin YS , Liu CC , 2013. Clinical and laboratory predictive markers for acute dengue infection. J Biomed Sci 20: 75.
-
26.
Ahmed A , Alvi AH , Butt A , Nawaz AA , Hanif A , 2014. Assessment of dengue fever severity through liver function tests. J Coll Physicians Surg–Pak JCPSP 24: 640–644.
-
27.
Verma S , Kanga A , Singh D , Verma GK , Mokta K , Ganju SA , Sharma V , 2014. Emergence of travel: Associated dengue fever in a non-endemic, hilly state. Adv Biomed Res 3: 239.
-
28.
Kittitrakul C , Silachamroon U , Phumratanaprapin W , Krudsood S , Wilairatana P , Treeprasertsuk S , 2015. Liver function tests abnormality and clinical severity of dengue infection in adult patients. J Med Assoc Thail Chotmaihet Thangphaet 98 (Suppl 1 ):S1–S8.
-
29.
Soundravally R , Sherin J , Agieshkumar BP , Daisy MS , Cleetus C , Narayanan P , Kadhiravan T , Sujatha S , Harichandrakumar KT , 2015. Serum levels of copper and iron in dengue fever. Rev Inst Med Trop São Paulo 57: 315–320.
-
30.
Trojánek M , Maixner J , Sojková N , Kynčl J , Roháčová H , Marešová V , Stejskal F , 2016. Dengue fever in Czech travellers: A 10-year retrospective study in a tertiary care centre. Travel Med Infect Dis 14: 32–38.
-
31.
Ng DH , Wong JG , Thein TL , Leo YS , Lye DC , 2016. The significance of prolonged and saddleback fever in hospitalised adult dengue. PLoS One 11: e0167025.
-
32.
Thanachartwet V , Wattanathum A , Sahassananda D , Wacharasint P , Chamnanchanunt S , Khine Kyaw E , Jittmittraphap A , Naksomphun M , Surabotsophon M , Desakorn V , 2016. Dynamic measurement of hemodynamic parameters and cardiac preload in adults with dengue: A prospective observational study. PLoS One 11: e0156135.
-
33.
Diaz-Quijano FA , Figueiredo GM , Waldman EA , Figueiredo WM , Cardoso MRA , Campos SRC , Costa AA , Pannuti CS , Luna EJA , 2019. Comparison of clinical tools for dengue diagnosis in a pediatric population-based cohort. Trans R Soc Trop Med Hyg 113: 212–220.
-
34.
Pradeepa HD , Rao SB , Ganaraj B , Gopalakrishna B , Chakrapani M , 2018. Tri-phasic fever in dengue fever. Trop Doct 48: 93–97.
-
35.
Temprasertrudee S , Thanachartwet V , Desakorn V , Keatkla J , Chantratita W , Kiertiburanakul S , 2018. A multicenter study of clinical presentations and predictive factors for severe manifestation of dengue in adults. Jpn J Infect Dis 71: 239–243.
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36.
John KJ , Gunasekaran K , Prasad JD , Mathew D , Das S , Sultan N , Abraham AM , Iyyadurai R , 2019. Predictors of major bleeding and mortality in dengue infection: A retrospective observational study in a tertiary care centre in south India. Interdiscip Perspect Infect Dis 2019: 4823791.
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Duration of Fever in Patients with Dengue: A Systematic Review and Meta-Analysis
Nitin Gupta
Nitin Gupta
Department of Infectious Diseases, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India;
Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium;
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Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium;
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Carl Boodman
Carl Boodman
Department of Infectious Diseases, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India;
University of Manitoba, Winnipeg, Manitoba, Canada;
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University of Manitoba, Winnipeg, Manitoba, Canada;
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Christelle Genevieve Jouego
Christelle Genevieve Jouego
Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium;
Molecular Diagnostic and Research Group, University of Yaoundé, Yaoundé, Cameroon
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Molecular Diagnostic and Research Group, University of Yaoundé, Yaoundé, Cameroon
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Steven Van Den Broucke
Steven Van Den Broucke
Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium;
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ABSTRACT.
Dengue is an acute febrile illness endemic to tropical countries and associated with high mortality rates. Despite being a viral infection, there is rampant misuse of antibiotics in patients with dengue because of perceived delay in defervescence and fear of secondary bacterial infections. Therefore, there is a need to establish the average fever duration with a confidence interval among patients with dengue. Studies up to October 21, 2022 from two databases (PubMed and Embase) were included using the search terms related to dengue and duration of fever. All retrieved articles were screened for eligibility by two independent reviewers. Studies where the average duration of fever was available were included for systematic review. Articles with at least more than 20 patients where a mean and standard deviation for the total duration of fever was available were included for meta-analysis. A total of 643 articles were included from the two databases after duplicate deletion. After two rounds of screening, 31 articles (n = 7,905) were finally included. The mean duration of fever in the 20 articles included for meta-analysis was 5.1 (95% CI: 4.7–5.5) days. Longer duration of fever was seen in those with a higher grade of fever, those with higher disease severity, and those with concurrent bacterial infections. In the absence of risk factors for concurrent bacteremia, antimicrobials may be unnecessary in those with dengue fever duration of less than 5.5 days.
- Supplemental Materials (PDF 206.05 KB)
Author Notes
Authors’ addresses: Nitin Gupta, Department of Infectious Diseases, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India, E-mail: nityanitingupta@gmail.com. Carl Boodman and Steven Van Den Broucke, Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium, E-mails: carlboodman@gmail.com and svandenbroucke@itg.be. Christelle Genevieve Jouego, Molecular Diagnostic and Research Group, University of Yaoundé, Yaoundé, Cameroon, E-mail: chjouego@ext.itg.be.
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
Leung XY , Islam RM , Adhami M , Ilic D , McDonald L , Palawaththa S , Diug B , Munshi SU , Karim MN , 2023. A systematic review of dengue outbreak prediction models: Current scenario and future directions. PLoS Negl Trop Dis 17: e0010631.
-
2.
World Health Organization , 2023. Dengue—Global Situation. Available at: https://www.who.int/emergencies/disease-outbreak-news/item/2023-DON498. Accessed February 8, 2024.
-
3.
Fisher R , Lustig Y , Sklan EH , Schwartz E , 2023. The role of NS1 protein in the diagnosis of flavivirus infections. Viruses 15: 572.
-
4.
Soo KM , Khalid B , Ching SM , Chee HY , 2016. Meta-analysis of dengue severity during infection by different dengue virus serotypes in primary and secondary infections. PLoS One 11: e0154760.
-
5.
Adrizain R , Setiabudi D , Chairulfatah A , 2019. The inappropriate use of antibiotics in hospitalized dengue virus-infected children with presumed concurrent bacterial infection in teaching and private hospitals in Bandung, Indonesia. PLoS Negl Trop Dis 13: e0007438.
-
6.
Page MJ et al., 2021. PRISMA 2020 explanation and elaboration: Updated guidance and exemplars for reporting systematic reviews. BMJ 372: n160.
-
7.
Wallace BC , Dahabreh IJ , Trikalinos TA , Lau J , Trow P , Schmid CH , 2012. Closing the gap between methodologists and end-users: R as a computational back-end. J Stat Softw 49: 1–15.
-
8.
Wan X , Wang W , Liu J , Tong T , 2014. Estimating the sample mean and standard deviation from the sample size, median, range and/or interquartile range. BMC Med Res Methodol 14: 135.
-
9.
Cochrane Handbook for Systematic Reviews of Interventions Available at: https://training.cochrane.org/handbook. Accessed June 27, 2023.
-
10.
Joanna Briggs Institute JBI’s Tools Assess Trust, Relevance & Results of Published Papers: Enhancing Evidence Synthesis. JBI. Available at: https://jbi.global/critical-appraisal-tools. Accessed June 27, 2023.
-
11.
Kularatne SAM , Gawarammana IB , Kumarasiri PRV , 2005. Epidemiology, clinical features, laboratory investigations and early diagnosis of dengue fever in adults: A descriptive study in Sri Lanka. Southeast Asian J Trop Med Public Health 36: 686–692.
-
12.
Limkittikul K , Yingsakmongkon S , Jittmittraphap A , Chuananon S , Kongphrai Y , Kowasupathr S , Rojanawatsirivit C , Mammen MP Jr. , Jampangern W , 2005. Clinical differences among PCR-proven dengue serotype infections. Southeast Asian J Trop Med Public Health 36: 1432–1438.
-
13.
Singh NP , Jhamb R , Agarwal SK , Gaiha M , Dewan R , Daga MK , Chakravarti A , Kumar S , 2005. The 2003 outbreak of dengue fever in Delhi, India. Southeast Asian J Trop Med Public Health 36: 1174–1178.
-
14.
Lee IK , Liu JW , Yang KD , 2005. Clinical characteristics and risk factors for concurrent bacteremia in adults with dengue hemorrhagic fever. Am J Trop Med Hyg 72: 221–226.
-
15.
Sharma N , Mahi S , Bhalla A , Singh V , Varma S , Ratho RK , 2006. Dengue fever related acalculous cholecystitis in a north Indian tertiary care hospital. J Gastroenterol Hepatol 21: 664–667.
-
16.
Armien B , Suaya JA , Quiroz E , Sah BK , Bayard V , Marchena L , Campos C , Shepard DS , 2008. Clinical characteristics and national economic cost of the 2005 dengue epidemic in Panama. Am J Trop Med Hyg 79: 364–371.
-
17.
Chuansumrit A , Chaiyaratana W , Pongthanapisith V , Tangnararatchakit K , Lertwongrath S , Yoksan S , 2008. The use of dengue nonstructural protein 1 antigen for the early diagnosis during the febrile stage in patients with dengue infection. Pediatr Infect Dis J 27: 43–48.
-
18.
Lo CH , Ben RJ , Chen CD , Hsueh CW , Feng NH , 2009. Clinical experience of dengue fever in a regional teaching hospital in southern Taiwan. J Intern Med Taiwan 20: 248–254.
-
19.
Kularatne SAM , Gihan MC , Weerasinghe SC , Gunasena S , 2009. Concurrent outbreaks of chikungunya and dengue fever in Kandy, Sri Lanka, 2006–07: A comparative analysis of clinical and laboratory features. Postgrad Med J 85: 342–346.
-
20.
Humayoun MA , Waseem T , Jawa AA , Hashmi MS , Akram J , 2010. Multiple dengue serotypes and high frequency of dengue hemorrhagic fever at two tertiary care hospitals in Lahore during the 2008 dengue virus outbreak in Punjab, Pakistan. Int J Infect Dis IJID Off Publ Int Soc Infect Dis 14 (Suppl 3 ):e54–e59.
-
21.
Almas A , Parkash O , Akhter J , 2010. Clinical factors associated with mortality in dengue infection at a tertiary care center. Southeast Asian J Trop Med Public Health 41: 333–340.
-
22.
Mittal H , Faridi MMA , Arora SK , Patil R , 2012. Clinicohematological profile and platelet trends in children with dengue during 2010 epidemic in north India. Indian J Pediatr 79: 467–471.
-
23.
Bhattacharya N , Bandyopadhyay B , Bhattacharjee I , Mukherjee H , Talukdar S , Mondal R , Pramanick N , Chandra G , Hati AK , 2013. Retrospective analysis of dengue specific IgM reactive serum samples. Asian Pac J Trop Dis 3: 143–145.
-
24.
Nasim A , Anis S , Baqi S , Akhtar SF , Baig-Ansari N , 2013. Clinical presentation and outcome of dengue viral infection in live-related renal transplant recipients in Karachi, Pakistan. Transpl Infect Dis Off J Transplant Soc 15: 516–525.
-
25.
Ho TS , Wang SM , Lin YS , Liu CC , 2013. Clinical and laboratory predictive markers for acute dengue infection. J Biomed Sci 20: 75.
-
26.
Ahmed A , Alvi AH , Butt A , Nawaz AA , Hanif A , 2014. Assessment of dengue fever severity through liver function tests. J Coll Physicians Surg–Pak JCPSP 24: 640–644.
-
27.
Verma S , Kanga A , Singh D , Verma GK , Mokta K , Ganju SA , Sharma V , 2014. Emergence of travel: Associated dengue fever in a non-endemic, hilly state. Adv Biomed Res 3: 239.
-
28.
Kittitrakul C , Silachamroon U , Phumratanaprapin W , Krudsood S , Wilairatana P , Treeprasertsuk S , 2015. Liver function tests abnormality and clinical severity of dengue infection in adult patients. J Med Assoc Thail Chotmaihet Thangphaet 98 (Suppl 1 ):S1–S8.
-
29.
Soundravally R , Sherin J , Agieshkumar BP , Daisy MS , Cleetus C , Narayanan P , Kadhiravan T , Sujatha S , Harichandrakumar KT , 2015. Serum levels of copper and iron in dengue fever. Rev Inst Med Trop São Paulo 57: 315–320.
-
30.
Trojánek M , Maixner J , Sojková N , Kynčl J , Roháčová H , Marešová V , Stejskal F , 2016. Dengue fever in Czech travellers: A 10-year retrospective study in a tertiary care centre. Travel Med Infect Dis 14: 32–38.
-
31.
Ng DH , Wong JG , Thein TL , Leo YS , Lye DC , 2016. The significance of prolonged and saddleback fever in hospitalised adult dengue. PLoS One 11: e0167025.
-
32.
Thanachartwet V , Wattanathum A , Sahassananda D , Wacharasint P , Chamnanchanunt S , Khine Kyaw E , Jittmittraphap A , Naksomphun M , Surabotsophon M , Desakorn V , 2016. Dynamic measurement of hemodynamic parameters and cardiac preload in adults with dengue: A prospective observational study. PLoS One 11: e0156135.
-
33.
Diaz-Quijano FA , Figueiredo GM , Waldman EA , Figueiredo WM , Cardoso MRA , Campos SRC , Costa AA , Pannuti CS , Luna EJA , 2019. Comparison of clinical tools for dengue diagnosis in a pediatric population-based cohort. Trans R Soc Trop Med Hyg 113: 212–220.
-
34.
Pradeepa HD , Rao SB , Ganaraj B , Gopalakrishna B , Chakrapani M , 2018. Tri-phasic fever in dengue fever. Trop Doct 48: 93–97.
-
35.
Temprasertrudee S , Thanachartwet V , Desakorn V , Keatkla J , Chantratita W , Kiertiburanakul S , 2018. A multicenter study of clinical presentations and predictive factors for severe manifestation of dengue in adults. Jpn J Infect Dis 71: 239–243.
-
36.
John KJ , Gunasekaran K , Prasad JD , Mathew D , Das S , Sultan N , Abraham AM , Iyyadurai R , 2019. Predictors of major bleeding and mortality in dengue infection: A retrospective observational study in a tertiary care centre in south India. Interdiscip Perspect Infect Dis 2019: 4823791.
-
37.
Saba S , Khan AUR , Naeem-Ullah U , Bokhari SHM , 2019. Clinical profiles of dengue fever patients, during an outbreak. J Arthropod Borne Dis 13: 126–134.
-
38.
Kumar R , Sekhar G , Ananthi N , Kalyani M , 2020. Clinical profile, laboratory investigations and outcome in dengue positive children in south India. Int J Res Pharm Sci 30: 175–180.
-
39.
Sharma RC , Meena M , 2022. An observational study to correlate the clinical profile with laboratory investigations and radiological findings in dengue fever at tertiary care center. Eur J Mol Clin Med 9: 10467–10472.
-
40.
Sarin SM , Anirudhan J , Kadeeja Beevi B , Pramod VK , 2022. Changing clinical profile of dengue fever epidemic in north Kerala—A retrospective study. J Clin Diagn Res 16: OC23–OC26.
-
41.
Trojánek M , Grebenyuk V , Manďáková Z , Sojková N , Zelená H , Roháčová H , Stejskal F , 2023. Epidemiology of dengue, chikungunya and Zika virus infections in travellers: A 16-year retrospective descriptive study at a tertiary care centre in Prague, Czech Republic. PLoS One 18: e0281612.
-
42.
Win MK , Chow A , Dimatatac F , Go CJ , Leo YS , 2010. Chikungunya fever in Singapore: Acute clinical and laboratory features, and factors associated with persistent arthralgia. J Clin Virol 49: 111–114.
-
43.
Balasubramaniam SM , Krishnakumar J , Stephen T , Gaur R , Appavoo N , 2011. Prevalence of chikungunya in urban field practice area of a private medical college, Chennai. Indian J Community Med 36: 124–127.
-
44.
Patil SS , Patil SR , Durgawale PM , Patil AG , 2013. A study of the outbreak of Chikungunya fever. J Clin Diagn Res 7: 1059–1062.
-
45.
Ramachandran V , Kaur P , Kanagasabai K , Vadivoo S , Murhekar MV , 2014. Persistent arthralgia among chikungunya patients and associated risk factors in Chennai, South India. J Postgrad Med 60: 3–6.
-
46.
Razmy AM , 2014. Clinical features of chikungunya infection in Sri Lanka. Asian Pac J Trop Dis 4: 131–134.
-
47.
McGraw IT , Dhanani N , Ray LA , Bentley RM , Bush RL , Vanderpool DM , 2015. Rapidly evolving outbreak of a febrile illness in rural Haiti: The importance of a field diagnosis of chikungunya virus in remote locations. Vector Borne Zoonotic Dis Larchmt N 15: 678–682.
-
48.
Chusri S et al., 2014. Kinetics of chikungunya infections during an outbreak in southern Thailand, 2008–2009. Am J Trop Med Hyg 90: 410–417.
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