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Prolonged viremia in dengue virus infection in hematopoietic stem cell transplant recipients and patients with hematological malignancies
Authors:Bárbara Brito de Souza Pereira  Luiz Guilherme Darrigo Junior  Thalita Cristina de Mello Costa  Alvina Clara Felix  Belinda P. Simoes  Ana Beatriz Stracieri  Paula Moreira da Silva  Marcos Mauad  Clarisse M. Machado
Affiliation:1. Virology Laboratory, Institute of Tropical Medicine, University of S?o Paulo, S?o Paulo, Brazil;2. Faculty of Medicine of Ribeir?o Preto, University of S?o Paulo, S?o Paulo, Brazil;3. HSCT Program, Amaral Carvalho Foundation, S?o Paulo, Brazil
Abstract:Fever, skin rash, headache, and thrombocytopenia are considered hallmarks of dengue infection. However, these symptoms are frequently observed in infectious and non‐infectious complications of hematopoietic stem cell transplant recipients and oncohematological patients. Thus, laboratory confirmation of dengue is relevant for prompt intervention and proper management of dengue in endemic and non‐endemic regions. Because no prospective study of dengue has been conducted in these populations, the actual morbidity and mortality of dengue is unknown. In the present series, we describe five cases of dengue in patients living in endemic areas, emphasizing the prolonged course of the disease and the occurrence of prolonged viremia.
Keywords:dengue virus  hematological malignancies  HSCT  immunocompromised patients  prolonged viremia
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