* University of Hawaii at Manoa, Department of Tropical Medicine and Medical Microbiology, John A. Burns School of Medicine, Leahi Hospital, 3675 Kilauea Avenue, Honolulu, Hawaii 96816
† San Juan Laboratories, Dengue Branch, Division of Vector-Borne Viral Diseases, Center for Infectious Diseases, Centers for Disease Control, U.S. Public Health Service, GPO Box 4532, San Juan, Puerto Rico 00936
8015 East Market Street, Warren, Ohio,
§ Statistical Services, World Health Organization, 1211 Geneva 27, Switzerland
A previously reported case of childhood dengue shock syndrome in an American traveler to India was investigated serologically. The original studies neither indicated the infecting serotype nor proved primary or secondary infection. However, BHK suspension PRNT of 6-year convalescent serum now indicates that the child had primary dengue type 3 infection. Dengue, dengue hemorrhagic fever, and dengue shock syndrome are potential hazards for American travelers and American residents of dengue-receptive areas.