Analysis of Repeat Hospital Admissions for Dengue to Estimate the Frequency of Third or Fourth Dengue Infections Resulting in Admissions and Dengue Hemorrhagic Fever, and Serotype Sequences

Robert V. Gibbons Queen Sirikit Institute for Child Health, Bangkok, Thailand; Department of Virology, United States Army Medical Component–Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand; Center for Infectious Disease and Vaccine Research, University of Massachusetts Medical School, Worcester, Massachusetts; Division of Communicable Diseases and Immunology, Walter Reed Army Institute of Research, Silver Spring, Maryland; Military Infectious Diseases Research Program, United States Army Medical Research and Materiel Command, Fort Detrick, Maryland

Search for other papers by Robert V. Gibbons in
Current site
Google Scholar
PubMed
Close
,
Siripen Kalanarooj Queen Sirikit Institute for Child Health, Bangkok, Thailand; Department of Virology, United States Army Medical Component–Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand; Center for Infectious Disease and Vaccine Research, University of Massachusetts Medical School, Worcester, Massachusetts; Division of Communicable Diseases and Immunology, Walter Reed Army Institute of Research, Silver Spring, Maryland; Military Infectious Diseases Research Program, United States Army Medical Research and Materiel Command, Fort Detrick, Maryland

Search for other papers by Siripen Kalanarooj in
Current site
Google Scholar
PubMed
Close
,
Richard G. Jarman Queen Sirikit Institute for Child Health, Bangkok, Thailand; Department of Virology, United States Army Medical Component–Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand; Center for Infectious Disease and Vaccine Research, University of Massachusetts Medical School, Worcester, Massachusetts; Division of Communicable Diseases and Immunology, Walter Reed Army Institute of Research, Silver Spring, Maryland; Military Infectious Diseases Research Program, United States Army Medical Research and Materiel Command, Fort Detrick, Maryland

Search for other papers by Richard G. Jarman in
Current site
Google Scholar
PubMed
Close
,
Ananda Nisalak Queen Sirikit Institute for Child Health, Bangkok, Thailand; Department of Virology, United States Army Medical Component–Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand; Center for Infectious Disease and Vaccine Research, University of Massachusetts Medical School, Worcester, Massachusetts; Division of Communicable Diseases and Immunology, Walter Reed Army Institute of Research, Silver Spring, Maryland; Military Infectious Diseases Research Program, United States Army Medical Research and Materiel Command, Fort Detrick, Maryland

Search for other papers by Ananda Nisalak in
Current site
Google Scholar
PubMed
Close
,
David W. Vaughn Queen Sirikit Institute for Child Health, Bangkok, Thailand; Department of Virology, United States Army Medical Component–Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand; Center for Infectious Disease and Vaccine Research, University of Massachusetts Medical School, Worcester, Massachusetts; Division of Communicable Diseases and Immunology, Walter Reed Army Institute of Research, Silver Spring, Maryland; Military Infectious Diseases Research Program, United States Army Medical Research and Materiel Command, Fort Detrick, Maryland

Search for other papers by David W. Vaughn in
Current site
Google Scholar
PubMed
Close
,
Timothy P. Endy Queen Sirikit Institute for Child Health, Bangkok, Thailand; Department of Virology, United States Army Medical Component–Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand; Center for Infectious Disease and Vaccine Research, University of Massachusetts Medical School, Worcester, Massachusetts; Division of Communicable Diseases and Immunology, Walter Reed Army Institute of Research, Silver Spring, Maryland; Military Infectious Diseases Research Program, United States Army Medical Research and Materiel Command, Fort Detrick, Maryland

Search for other papers by Timothy P. Endy in
Current site
Google Scholar
PubMed
Close
,
Mammen P. Mammen Jr Queen Sirikit Institute for Child Health, Bangkok, Thailand; Department of Virology, United States Army Medical Component–Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand; Center for Infectious Disease and Vaccine Research, University of Massachusetts Medical School, Worcester, Massachusetts; Division of Communicable Diseases and Immunology, Walter Reed Army Institute of Research, Silver Spring, Maryland; Military Infectious Diseases Research Program, United States Army Medical Research and Materiel Command, Fort Detrick, Maryland

Search for other papers by Mammen P. Mammen Jr in
Current site
Google Scholar
PubMed
Close
, and
Anon Srikiatkhachorn Queen Sirikit Institute for Child Health, Bangkok, Thailand; Department of Virology, United States Army Medical Component–Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand; Center for Infectious Disease and Vaccine Research, University of Massachusetts Medical School, Worcester, Massachusetts; Division of Communicable Diseases and Immunology, Walter Reed Army Institute of Research, Silver Spring, Maryland; Military Infectious Diseases Research Program, United States Army Medical Research and Materiel Command, Fort Detrick, Maryland

Search for other papers by Anon Srikiatkhachorn in
Current site
Google Scholar
PubMed
Close
Restricted access

Immunity to a single dengue virus (DENV) infection does not provide heterologous immunity to subsequent infection. In fact, the greatest risk for dengue hemorrhagic fever (DHF) is with a second DENV serotype exposure. The risk for DHF with a third or fourth dengue infection relative to a first or second exposure is not known. An analysis of our database of children admitted to the Queen Sirikit National Institute of Child Health and Kamphaeng Phet Provincial Hospital with suspected dengue illness revealed that the number of dengue admissions caused by a third or fourth DENV infection was extremely low (0.08–0.8%). Once admitted, the risk for DHF relative to dengue fever was not different for those experiencing third or fourth DENV infections over those experiencing a second DENV infection. We document new dengue serotype infection sequences leading to DHF of 1–4, 2–3, 3–1, and 3–4.

Author Notes

  • 1

    Calisher CH, Mahy BW, 2003. Taxonomy: get it right or leave it alone. Am J Trop Med Hyg 68 :505–506.

  • 2

    Reinert JF, Harbach RE, 2005. Generic and subgeneric status of aedine mosquito species (Diptera: Culicidae: Aedini) occurring in the Australasian Region. Zootaxa 887 :1–10.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3

    Halstead SB, Nimmannitya S, Cohen SN, 1970. Observations related to pathogenesis of dengue hemorrhagic fever. IV. Relation of disease severity to antibody response and virus recovered. Yale J Biol Med 42 :311–328.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4

    Sangkawibha N, Rojanasuphot S, Ahandrik S, Viriyapongse S, Jatanasen S, Salitul V, Phanthumachinda B, Halstead SB, 1984. Risk factors in dengue shock syndrome: a prospective epidemiologic study in Rayong, Thailand. I. The 1980 outbreak. Am J Epidemiol 120 :653–669.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5

    Russell PK, Yuill TM, Nisalak A, Udomsakdi S, Gould DJ, Winter PE, 1968. An insular outbreak of dengue hemorrhagic fever. II. Virologic and serologic studies. Am J Trop Med Hyg 17 :600–608.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6

    Graham RR, Juffrie M, Tan R, Hayes CG, Laksono I, Ma’roef C, Erlin, Sutaryo, Porter KR, Halstead SB, 1999. A prospective seroepidemiologic study on dengue in children four to nine years of age in Yogyakarta, Indonesia I. studies in 1995–1996. Am J Trop Med Hyg 61 :412–419.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7

    Guzmán MG, Kouri G, Valdes L, Bravo J, Alvarez M, Vazques S, Delgado I, Halstead SB, 2000. Epidemiologic studies on Dengue in Santiago de Cuba, 1997. Am J Epidemiol 152 :793–799.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8

    Guzman MG, Kouri G, Valdes L, Bravo J, Alvarez M, Vazques S, Delgado I, Halstead SB, 2000. Dr. Guzman et al. response to Dr. Vaughn. Am J Epidemiol 152 :804.

  • 9

    Halstead SB, Shotwell H, Casals J, 1973. Studies on the pathogenesis of dengue infection in monkeys. I. clinical laboratory responses to primary infection. J Infect Dis 128 :7–14.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10

    Scherer WF, Breakenridge FA, Dickerman RW, 1972. Cross-protection studies and search for subclinical disease in new world monkeys infected sequentially with different immunologic types of dengue viruses. Am J Epidemiol 95 :67–79.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11

    Whitehead RH, Chaicumpa V, Olson LC, Russell PK, 1970. Sequential dengue virus infections in the white-handed gibbon (Hylobates lar). Am J Trop Med Hyg 19 :94–102.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12

    Price WH, 1968. Sequential immunization as a vaccination procedure against dengue viruses. Am J Epidemiol 88 :392–397.

  • 13

    Anonymous, 1997. Dengue Haemorrhagic Fever: Diagnosis, Treatment, Prevention and Control. Second edition. Geneva: World Health Organization.

    • PubMed
    • Export Citation
  • 14

    Innis BL, Nisalak A, Nimmannitya S, Kusalerdchariya S, Chong-swadsi V, Suntayakorn S, Puttisri P, Hoke CH, 1989. An enzyme-linked immunosorbent assay to characterize dengue infections where dengue and Japanese encephalitis co-circulate. Am J Trop Med Hyg 40 :418–427.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15

    Clarke DH, Casals J, 1958. Techniques for hemagglutination and hemagglutination inhibition with arthropod-borne viruses. Am J Trop Med Hyg 7 :561–573.

  • 16

    Vaughn DW, Green S, Kalayanarooj S, Innis BL, Nimmannitya S, Suntayakorn S, Rothman AL, Ennis FA, Nisalak A, 1997. Dengue in the early febrile phase: viremia and antibody responses. J Infect Dis 176 :322–330.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17

    Rosen L, Gubler DJ, 1974. The use of mosquitoes to detect and propagate dengue viruses. Am J Trop Med Hyg 23 :1153–1160.

  • 18

    Kuberski TT, Rosen L, 1977. A simple technique for the detection of dengue antigen in mosquitoes by immunofluorescence. Am J Trop Med Hyg 26 :533–537.

  • 19

    Rosen L, Shroyer DA, 1985. Comparative susceptibility of five species of Toxorhynchites mosquitoes to parenteral infection with dengue and other flaviviruses. Am J Trop Med Hyg 34 :805–809.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 20

    Lanciotti RS, Calisher CH, Gubler DJ, Chang GJ, Vorndam AV, 1992. Rapid detection and typing of dengue viruses from clinical samples by using reverse transcriptase-polymerase chain reaction. J Clin Microbiol 30 :545–551.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 21

    Guzmán MG, Kouri G, Bravo J, Soler M, Martínez E, 1991. Sequential infection as risk factor for dengue hemorrhagic fever/dengue shock syndrome (DHF/DSS) during the 1981 dengue hemorrhagic Cuban epidemic. Mem Inst Oswaldo Cruz 86 :367.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 22

    Alvarez M, Rodriguez-Roche R, Bernardo L, Vázquez S, Morier L, Gonzalez D, Castro O, Kouri G, Halstead SB, Guzman MG, 2006. Dengue hemorrhagic Fever caused by sequential dengue 1–3 virus infections over a long time interval: Havana epidemic, 2001–2002. Am J Trop Med Hyg 75 :1113–1117.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 23

    Deparis X, Murque B, Roche C, Cassar O, Chungue E, 1998. Changing clinical and biological manifestations of dengue during the dengue-2 epidemic in French Polynesia in 1996/97—description and analysis in a prospective study. Trop Med Int Health 3 :859–865.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 24

    Sabin AB, 1952. Research on dengue during World War II. Am J Trop Med Hyg 1 :30–50.

  • 25

    Hoke CH, Nisalak A, Sangawhipa N, Jatanasen S, Laoraka-pongse T, Innis BL, Kotchasenee S, Gingrich JB, Latendresse J, Fukai K, et al., 1988. Protection against Japanese encephalitis by inactivated vaccines. N Engl J Med 319 :608–614.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 26

    Burke DS, Nisalak A, Johnson DE, Scott RM, 1988. A prospective study of dengue infections in Bangkok. Am J Trop Med Hyg 38 :172–180.

  • 27

    Kliks SC, Nimmanitya S, Nisalak A, Burke DS, 1988. Evidence that maternal dengue antibodies are important in the development of dengue hemorrhagic fever in infants. Am J Trop Med Hyg 38 :411–419.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 28

    Halstead SB, Lan NT, Myint TT, Shwe TN, Nisalak A, Kalyana-rooj S, Nimmannitya S, Soegijanto S, Vaughn DW, Endy TP, 2002. Dengue hemorrhagic fever in infants: research opportunities ignored. Emerg Infect Dis 8 :1474–1479.

    • PubMed
    • Search Google Scholar
    • Export Citation
Past two years Past Year Past 30 Days
Abstract Views 478 431 139
Full Text Views 214 9 0
PDF Downloads 80 7 0
 
 
 
 
Affiliate Membership Banner
 
 
Research for Health Information Banner
 
 
CLOCKSS
 
 
 
Society Publishers Coalition Banner
Save