Dengue Fever as an Emerging Infection in Southeast Iran

Mostafa Heydari Infectious Diseases and Tropical Medicine Research Center, Zahedan University of Medical Sciences, Zahedan, Iran;

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Maliheh Metanat Infectious Diseases and Tropical Medicine Research Center, Zahedan University of Medical Sciences, Zahedan, Iran;

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Mohammad-Ali Rouzbeh-Far Infectious Diseases and Tropical Medicine Research Center, Zahedan University of Medical Sciences, Zahedan, Iran;

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Seyed Mehdi Tabatabaei Infectious Diseases and Tropical Medicine Research Center, Zahedan University of Medical Sciences, Zahedan, Iran;

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Mohammad Rakhshani Infectious Diseases and Tropical Medicine Research Center, Zahedan University of Medical Sciences, Zahedan, Iran;

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Nahid Sepehri-Rad Infectious Diseases and Tropical Medicine Research Center, Zahedan University of Medical Sciences, Zahedan, Iran;

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Maryam Keshtkar-Jahromi Division of Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, Maryland

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Dengue fever (DF) is a mosquito-borne acute viral disease presenting with hemorrhagic manifestations in severe cases. Southeast Iran is in close proximity to Pakistan, an endemic country for DF. This cross-sectional study was conducted in the Sistan and Baluchestan province in the southeast of Iran to investigate possibility of DF (immunoglobulin M [IgM], immunoglobulin G [IgG], and nonstructural protein 1 [NS1] antigen tests) in 60 clinically suspected patients (April 2013 to August 2015). NS1 protein was detected in 5% (N = 3), at least one of the antibodies (IgM and/ or IgG) was detected in 11% (N = 7) of the samples. Five patients identified as of acutely infected. There was a simultaneous presence of NS1 protein and IgG or IgM antibodies in 4% (N = 2) of patients. Previous studies show establishment of potential vectors in this area. These evidences support the hypothesis that DF can be a health concern in Southeast Iran with potential future outbreaks.

Author Notes

Address correspondence to Maryam Keshtkar-Jahromi, Assistant Professor of Medicine, Johns Hopkins University School of Medicine, Division of Infectious Diseases, Mason F. Lord Building, Center Tower, 3rd Floor, Johns Hopkins Bayview Medical Center, 5200 Eastern Avenue, Baltimore, MD 21224. E-mail: maryam.keshtkar@jhmi.edu

Financial support: This study has been funded by Zahedan University of Medical Sciences.

Authors’ addresses: Mostafa Heydari, Maliheh Metanat, Mohammad-Ali Rouzbeh-Far, Seyed Mehdi Tabatabaei, Mohammad Rakhshani, and Nahid Sepehri-Rad, Infectious Diseases and Tropical Medicine Research Center, Zahedan University of Medical Sciences, Zahedan, Iran, E-mails: mostafaheydari.m@gmail.com, mmetanat16@gmail.com, mashhadi172@gmail.com, zu.healthdeputy@gmail.com, rakhshani_dr@yahoo.com, and nahid_sepehri@yahoo.com. Maryam Keshtkar-Jahromi, Division of Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, MD, E-mail: maryam.keshtkar@jhmi.edu.

  • 1.

    WHO, 2009. Dengue: Guidelines for Diagnosis, Treatment, Prevention and Control: New Edition. Geneva: World Health Organization. WHO Guidelines Approved by the Guidelines Review Committee. Available at: http://www.who.int/tdr/publications/documents/dengue-diagnosis.pdf. Accessed June 13, 2017.

    • PubMed
    • Export Citation
  • 2.

    WHO, 2013. Dengue Fever in Pakistan. WHO Surveillance, Forecasting and Response. Available at: http://www.emro.who.int/surveillance-forecasting-response/outbreaks/dengue-fever-in-pakistan.html. Accessed June 13, 2017.

    • PubMed
    • Export Citation
  • 3.

    Cecilia D, 2014. Current status of dengue and chikungunya in India. WHO South-East Asia J Public Health 3: 24–27.

  • 4.

    Elyan DS, Moustafa L, Noormal B, Jacobs JS, Aziz MA, Hassan KS, Wasfy MO, Monestersky JH, Oyofo BA, 2014. Serological evidence of flaviviruses infection among acute febrile illness patients in Afghanistan. J Infect Dev Ctries 8: 1176–1180.

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

    Mardani M, Abbasi F, Aghahasani M, Ghavam B, 2013. First Iranian imported case of dengue. Int J Prev Med 4: 1075–1077.

  • 6.

    Chinikar S et al.., 2013. Preliminary study of dengue virus infection in Iran. Travel Med Infect Dis 11: 166–169.

  • 7.

    Hii YL, Zhu H, Ng N, Ng LC, Rocklöv J, 2012. Forecast of dengue incidence using temperature and rainfall. PLoS Negl Trop Dis 6: e1908.

  • 8.

    Bostan N, Javed S, Nabgha-E-Amen, Eqani SA, Tahir F, Bokhari H, 2017. Dengue fever virus in Pakistan: effects of seasonal pattern and temperature change on distribution of vector and virus. Rev Med Virol 27: e1899.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Nunes MR et al.., 2014. Air travel is associated with intracontinental spread of dengue virus serotypes 1–3 in Brazil. PLoS Negl Trop Dis 8: e2769.

  • 10.

    Stoddard ST, Morrison AC, Vazquez-Prokopec GM, Paz Soldan V, Kochel TJ, Kitron U, Elder JP, Scott TW, 2009. The role of human movement in the transmission of vector-borne pathogens. PLoS Negl Trop Dis 3: e481.

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

    Wesolowski A, Qureshi T, Boni MF, Sundsøy PR, Johansson MA, Rasheed SB, Engø-Monsen K, Buckee CO, 2015. Impact of human mobility on the emergence of dengue epidemics in Pakistan. Proc Natl Acad Sci USA 112: 11887–11892.

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

    Zubair M, Ashraf M, Ahsan A, Nazir NU, Hanif H, Khan HA, 2016. Dengue viral infections in Pakistan and other Asian countries: a comprehensive review. J Pak Med Assoc 66: 884–888.

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

    Ali A et al.., 2013. Seroepidemiology of dengue fever in Khyber Pakhtunkhawa, Pakistan. Int J Infect Dis 17: e518–e523.

  • 14.

    Chinikar S, Javadi A, Ataei B, Shakeri H, Moradi M, Mostafavi E, Ghiasi SM, 2012. Detection of West Nile virus genome and specific antibodies in Iranian encephalitis patients. Epidemiol Infect 140: 1525–1529.

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

    Aghaie A, Aaskov J, Chinikar S, Niedrig M, Banazadeh S, Mohammadpour HK, 2016. Frequency of West Nile virus infection in Iranian blood donors. Indian J Hematol Blood Transfus 32: 343–346.

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

    Chinikar S, Shah-Hosseini N, Mostafavi E, Moradi M, Khakifirouz S, Jalali T, Goya MM, Shirzadi MR, Zainali M, Fooks AR, 2013. Seroprevalence of West Nile virus in Iran. Vector Borne Zoonotic Dis 13: 586–589.

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

    Doosti S, Yaghoobi-Ershadi MR, Schaffner F, Moosa-Kazemi SH, Akbarzadeh K, Gooya MM, Vatandoost H, Shirzadi MR, Mosta-Favi E, 2016. Mosquito surveillance and the first record of the invasive mosquito species Aedes (Stegomyia) albopictus (Skuse) (Diptera: Culicidae) in southern Iran. Iran J Public Health 45: 1064–1073.

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

    Yaghoobi-Ershadi MR, Doosti S, Schaffner F, Moosa-Kazemi SH, Akbarzadeh K, Yaghoobi-Ershadi N, 2017. Morphological studies on adult mosquitoes (Diptera: Culicidae) and first report of the potential Zika virus vector Aedes (Stegomyia) unilineatus (Theobald, 1906) in Iran. Bull Soc Pathol Exot 110: 116–121.

    • PubMed
    • Search Google Scholar
    • Export Citation
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