Dengue Virus Serotypes 1 and 2 Responsible for Dengue Burden in Amazonas: Epidemiological and Clinical Features

Fátima Burgos Instituto de Investigación de Enfermedades Tropicales, Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas, Chachapoyas, Peru;

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Lourdes Ramírez-Orrego Instituto de Investigación de Enfermedades Tropicales, Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas, Chachapoyas, Peru;

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Luis M. Rojas Instituto de Investigación de Enfermedades Tropicales, Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas, Chachapoyas, Peru;
Laboratorio Referencial de Salud Pública, Dirección Regional de Salud de Amazonas, Chachapoyas, Peru;

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Rafael Tapia-Limonchi Instituto de Investigación de Enfermedades Tropicales, Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas, Chachapoyas, Peru;
Facultad de Medicina, Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas, Chachapoyas, Peru

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Carmen Gutierrez Instituto de Investigación de Enfermedades Tropicales, Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas, Chachapoyas, Peru;
Facultad de Medicina, Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas, Chachapoyas, Peru

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Stella M. Chenet Instituto de Investigación de Enfermedades Tropicales, Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas, Chachapoyas, Peru;
Facultad de Medicina, Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas, Chachapoyas, Peru

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ABSTRACT.

The increase in dengue cases in Amazonas poses a public health risk. This study aimed to examine the circulating serotypes in the region of Amazonas, Peru, from 2021 to 2023, along with the associated clinical and epidemiological characteristics. Serotype identification was determined for 420 serum samples using a multiplex real-time reverse transcription–polymerase chain reaction assay, revealing that 194 patients were infected by dengue virus (DENV)-1 and 226 by DENV-2. Both serotypes co-circulated in all affected provinces. Warning signs were more frequent in patients with DENV-2 (P = 0.004), and the manifestation of abdominal pain was correlated with this serotype (P = 0.004), highlighting its association with severe forms of the disease. In conclusion, this study emphasizes the widespread circulation of DENV-1 and DENV-2 in Amazonas. Furthermore, it underscores the importance of real-time molecular surveillance that could provide an early prognosis of disease severity.

Author Notes

Financial support: This research was supported by Fondo Nacional de Desarrollo Científico, Tecnológico y de Innovación Tecnológica (N° 050-2021-FONDECYT).

Current contact information: Fátima Burgos and Lourdes Ramírez-Orrego, Instituto de Investigación de Enfermedades Tropicales, Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas, Chachapoyas, Peru, E-mails: maria.burgos@untrm.edu.pe and lourdes.ramirez@untrm.edu.pe. Luis M. Rojas, Instituto de Investigación de Enfermedades Tropicales, Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas, Chachapoyas, Peru, and Laboratorio Referencial de Salud Pública, Dirección Regional de Salud de Amazonas, Chachapoyas, Peru, E-mail: luis.rojas@upch.edu.pe. Rafael Tapia-Limonchi, Carmen Gutierrez, and Stella M. Chenet, Instituto de Investigación de Enfermedades Tropicales, Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas, Chachapoyas, Peru, and Facultad de Medicina, Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas, Chachapoyas, Peru, E-mails: rafael.tapia@untrm.edu.pe, carmen.gutierrez@untrm.edu.pe, and stella.chenet@untrm.edu.pe.

Address correspondence to Stella M. Chenet, Instituto de Investigación de Enfermedades Tropicales, Universidad Nacional Toribio Rodríguez de Mendoza, Calle Higos Urco N° 342-350-356, Chachapoyas 01001, Amazonas, Peru. E-mail: stella.chenet@untrm.edu.pe
  • 1.

    Pan American Health Organization, 2020. Algorithms for the Clinical Management of Dengue Patients. Available at: https://www.paho.org/en/documents/algorithms-clinical-management-dengue-patients. Accessed April 1, 2024.

    • PubMed
    • Export Citation
  • 2.

    Palomares-Reyes C, et al., 2019. Dengue diagnosis in an endemic area of Peru: Clinical characteristics and positive frequencies by RT-PCR and serology for NS1, IgM, and IgG. Int J Infect Dis 81: 3137.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Ramos-Castañeda J, Dos Santos FB, Martínez-Vega R, De Araujo JMG, Joint G, Sarti E, 2017. Dengue in Latin America: Systematic review of molecular epidemiological trends. PLoS Negl Trop Dis 11: e0005224.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Luque N, Cilloniz C, Pons MJ, Donaires F, Albornoz R, Mendocilla-Risco M, Espinoza M, 2023. Clinical-epidemiological characteristics of dengue deaths during an outbreak in northern Peru. Rev Peru Med Exp Salud Publica 40: 6772.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Chowell G, Torre CA, Munayco-Escate C, Suárez-Ognio L, López-Cruz R, Hyman JM, Castillo-Chavez C, 2008. Spatial and temporal dynamics of dengue fever in Peru: 1994–2006. Epidemiol Infect 136: 16671677.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6.

    Ministerio de Salud, 2023. Número de Casos de Dengue, Perú 2017–2023. Available at: https://www.dge.gob.pe/portal/docs/vigilancia/sala/2023/SE50/dengue.pdf. Accessed April 1, 2024.

    • PubMed
    • Export Citation
  • 7.

    García MP, Padilla C, Figueroa D, Manrique C, Cabezas C, 2022. Emergence of the Cosmopolitan genotype of dengue virus serotype 2 (DENV2) in Madre de Dios, Peru, 2019. Rev Peru Med Exp Salud Publica 39: 126128.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    Ministerio de Salud, 2023. Sala Semanal: Semana Epidemiológica 36 (3 al 9 de Septiembre del 2023). Available at: https://www.dge.gob.pe/epipublic/uploads/dengue/dengue_202336_19_121311.pdf. Accessed April 1, 2024.

    • PubMed
    • Export Citation
  • 9.

    Dirección Regional de Salud, 2023. Boletín Epidemiológico: Semana Epidemiológica 51 (17 al 23 de Diciembre del 2023). Available at: https://cdn.www.gob.pe/uploads/document/file/5620985/4982847-boletin_51_2023-amazonas.pdf?v=1703881665. Accessed April 1, 2024.

    • PubMed
    • Export Citation
  • 10.

    Ramírez-Orrego L, Rojas-Muro LM, Campos CJ, Gutierrez CI, Chenet SM, Gonzales CL, 2023. Primer reporte de un brote de dengue en Balsas, Amazonas, Perú, durante 2021 y 2022: First report of a Dengue outbreak in Balsas, Amazonas, Peru, during 2021 and 2022. Revista de la Facultad de Medicina Humana 23: 2834.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Yenamandra SP, Koo C, Chiang S, Lim HSJ, Yeo ZY, Ng LC, Hapuarachchi CH, 2021. Evolution, heterogeneity and global dispersal of cosmopolitan genotype of Dengue virus type 2. Sci Rep 11: 13496.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Amorim MT, et al., 2023. Emergence of a new strain of DENV-2 in South America: Introduction of the Cosmopolitan genotype through the Brazilian-Peruvian Border. Trop Med Infect Dis 8: 325.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    De Jesus JG, et al., 2020. Genomic detection of a virus lineage replacement event of dengue virus serotype 2 in Brazil, 2019. Mem Inst Oswaldo Cruz 115: e190423.

  • 14.

    Laiton-Donato K, Alvarez DA, Peláez-Carvajal D, Mercado M, Ajami NJ, Bosch I, Usme-Ciro JA, 2019. Molecular characterization of dengue virus reveals regional diversification of serotype 2 in Colombia. Virol J 16: 62.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Rodriguez-Roche R, Villegas E, Cook S, Kim PAWP, Hinojosa Y, Rosario D, Villalobos I, Bendezu H, Hibberd ML, Guzman MG, 2012. Population structure of the dengue viruses, Aragua, Venezuela, 2006–2007. Insights into dengue evolution under hyperendemic transmission. Infect Genet Evol 12: 332344.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16.

    Hasan MM, Hernández-Yépez PJ, Rivera-Cabrera MdLA, Sarkar A, Dos Santos Costa AC, Essar MY, 2022. Concurrent epidemics of dengue and COVID-19 in Peru: Which way forward? Lancet Reg Health Am 12: 100277.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Vicente CR, Herbinger K-H, Fröschl G, Romano CM, de Souza Areias Cabidelle A, Cerutti Junior C, 2016. Serotype influences on dengue severity: A cross-sectional study on 485 confirmed dengue cases in Vitória, Brazil. BMC Infect Dis 16: 320.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18.

    Suppiah J, Ching SM, Amin-Nordin S, Mat-Nor LA, Ahmad-Najimudin NA, Low GKK, Abdul-Wahid MZ, Thayan R, Chee HY, 2018. Clinical manifestations of dengue in relation to dengue serotype and genotype in Malaysia: A retrospective observational study. PLoS Negl Trop Dis 12: e0006817.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19.

    Tsang TK, et al., 2019. Effects of infection history on dengue virus infection and pathogenicity. Nat Commun 10: 1246.

  • 20.

    OhAinle M, et al., 2011. Dynamics of dengue disease severity determined by the interplay between viral genetics and serotype-specific immunity. Sci Transl Med 3: 114ra128.

    • PubMed
    • Search Google Scholar
    • Export Citation
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