F-fluorodeoxyglucose positron emission tomography as a window into human dengue pathophysiology.

Antiviral Res

Department of Infectious Diseases, Singapore General Hospital, Singapore; Programme in Emerging Infectious Diseases, Duke-National University of Singapore (NUS), Medical School, Singapore. Electronic address:

Published: January 2021

In mouse models of dengue virus (DENV) infection, F-FDG PET is able to sensitively detect tissue-specific sites of inflammation and disease activity, as well as track therapeutic response to anti- DENV agents. However, the use of F-FDG PET to study the pathogenesis of inflammation and disease activity in DENV infection in humans, has not been clinically validated. Here we report the F-FDG PET imaging results of two patients during the febrile phase of acute DENV infection, paired with serial serum viral load, NS1 and proinflammatory cytokine measurements. Our findings demonstrate that F-FDG PET is able to sensitively detect and quantify organ-specific inflammation in the lymph nodes and spleen, in classic acute dengue fever. This raises the potential for F-FDG PET to be used as a research tool that may provide further insights into disease pathogenesis.

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http://dx.doi.org/10.1016/j.antiviral.2020.104991DOI Listing

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