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    • Exaggerated immune response to the virus

      • The pathogenesis of severe Dengue is complex and poorly understood, but it is thought to involve an exaggerated immune response to the virus, leading to cytokine storms. Excessive release of pro-inflammatory cytokines may contribute to vascular permeability, thereby contributing to the severity of the disease (Patro et al., 2019).
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  2. We discuss the immunological events elicited during a DENV infection and identify candidate cytokines that may play a key role in the severe manifestations of dengue and possible interventions. Keywords: Dengue, Dengue hemorrhagic fever, plasma leakage, innate immunity, adaptive immunity, cytokines

  3. Jan 8, 2019 · In a cohort of patients, dengue infections lead to life threatening severe dengue characterized by vascular leakage leading to shock, internal hemorrhage, and organ impairment, which results in death if untreated. The detailed pathogenesis and mechanisms that led to severe clinical manifestations of dengue are currently not clear.

    • A. Raj Kumar Patro, Sriprasad Mohanty, Birendra K. Prusty, Diwakar K. Singh, Sagar Gaikwad, Tanuja S...
    • 10.3390/v11010034
    • 2019
    • Viruses. 2019 Jan; 11(1): 34.
  4. Oct 3, 2022 · In summary, among viral and parasitic infections, influenza, hemorrhagic fevers (Dengue, Ebola), malaria, and visceral leishmaniosis are most likely to cause CS. In SARS-CoV-2, however, CS does not seem to play a major role other than what has been previously reported at the beginning of the pandemic.

    • Dominik Jarczak, Axel Nierhaus
    • Int J Mol Sci. 2022 Oct; 23(19): 11740.
    • 10.3390/ijms231911740
    • 2022/10
  5. Jan 24, 2019 · It is caused by dengue virus ... leading to a cytokine storm 42,136 ... One specific scenario in which the increased risk of severe dengue infection owing to pre-existing immunity is particularly ...

    • Ashley L St John, Ashley L St John, Abhay P S Rathore
    • 2019
  6. Apr 11, 2017 · Both the innate and the adaptive immune systems are activated in severe dengue and contribute to the cytokine production. We discuss the immunological events elicited during a DENV infection and identify candidate cytokines that may play a key role in the severe manifestations of dengue and possible interventions.

    • Anon Srikiatkhachorn, Anuja Mathew, Alan L. Rothman
    • 2017
  7. Dec 2, 2020 · Changes in circulating cell counts are most likely due to a complex interplay among cytokine-induced changes in production and mobilization of cells from the bone marrow,...

  8. Nov 21, 2022 · Emerging evidence implicates an impaired immune response as contributing to disease progression and severity by restricting viral clearance and inducing severe inflammation, subsequently leading to dengue hemorrhagic fever and dengue shock syndrome.

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