AI Article Synopsis

  • - Dengue has been a persistent issue in Nepal since 2004, with significant outbreaks, including one in 2019 that reported over 14,000 cases and six fatalities, especially affecting urban areas like Kathmandu.
  • - In a study of 451 dengue patients, symptoms included fever, body ache, and a notable decrease in platelets, with 57% testing positive for the dengue virus through RNA detection.
  • - The research identified DENV-2 as the predominant serotype during the 2019 outbreak, indicating crucial information for improving disease control and understanding the virus's behavior in the region.

Article Abstract

Background: Dengue cases have been continuously reported in Nepal, including some large outbreaks, since its first introduction in 2004. The disease is now expanding towards newer locations above 1400 m high, especially the country's capital city, Kathmandu. In 2019, >14,000 dengue cases including six deaths were reported. This study was aimed at the detection and molecular characterization of dengue virus (DENV) in dengue patients.

Methods: A total of 451 patients were enrolled in this study. Demographic, clinical and laboratory information was collected from dengue patients. Dengue infection was confirmed by antibody/antigen detection assays followed by RT-PCR analysis.

Results: The DENV patients showed fever, body ache, headache, myalgia, retro-orbital pain and arthralgia. The platelets were decreased, serum liver enzymes were increased and leucopenia was seen. Out of 195 patients, 111 (57.0%) were positive for DENV RNA by consensus PCR. We found DENV-2, 70 (63.1%) as the predominant serotype responsible for the 2019 outbreak, while DENV-3 was detected in two patients.

Conclusion: Our findings suggest that DENV-2 was the major serotype causing the 2019 massive outbreak in Nepal. This information will help in disease control programs to understand the molecular epidemiology and its changing trend.

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Source
http://dx.doi.org/10.1093/trstmh/traa096DOI Listing

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