Dengue Hemorrhagic Fever in a Japanese Traveler with Pre-existing Japanese Encephalitis Virus Antibody

An adult Japanese man who had just returned from Thailand developed dengue hemorrhagic fever (DHF). A primary infection of dengue virus (DENV) was confirmed, specifically DENV serotype 2 (DENV-2), on the basis of the detection of the virus genome, a significant increase in the neutralizing antibody...

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Bibliographic Details
Published in:Tropical Medicine and Health 2015, Vol.43(2), pp.85-88
Main Authors: Sato, Rumi, Hamada, Nobuyuki, Kashiwagi, Takahito, Imamura, Yoshihiro, Hara, Koyu, Nishimura, Munetsugu, Kamimura, Tomoko, Takasaki, Tomohiko, Watanabe, Hiroshi, Koga, Takeharu
Format: Article
Language:English
Subjects:
antibody-dependent enhancement (ADE)
cross-reactive antibody
dengue hemorrhagic fever
Dengue virus
Flavivirus
imported infection
Japanese encephalitis virus
Japanese encephalitis virus antibody
petechiae
Short Communications
thrombocytopenia
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Summary:An adult Japanese man who had just returned from Thailand developed dengue hemorrhagic fever (DHF). A primary infection of dengue virus (DENV) was confirmed, specifically DENV serotype 2 (DENV-2), on the basis of the detection of the virus genome, a significant increase in the neutralizing antibody and the isolation of DENV-2. DHF is often observed following a secondary infection from another serotype of dengue virus, particularly in children, but this case was a primary infection of DENV. Japan is a non-endemic country for dengue disease. In fact, only Japanese encephalitis (JE) is known to be a member of the endemic flavivirus family. In this study, IgG antibody against Japanese encephalitis virus (JEV) was detected. JEV belongs to the family of dengue virus and prevails in Japan, particularly Kyushu. Among many risk factors for the occurrence of DHF, a plausible candidate could be a cross-reactive antibody-dependent enhancement (ADE) mechanism caused by JEV antibody. This indicates that most Japanese travelers who living in dengue non-endemic areas, particularly Kyushu, should be aware of the occurrence of DHF.
ISSN:1348-8945
1349-4147
DOI:10.2149/tmh.2014-34