Evidence map›Paper›PMID 34223795›Full record

ArticlePathogens and global health

Neurological manifestations due to dengue virus infection in children: clinical follow-up.

Aline Almeida Bentes, Roberta Maia De Castro Romanelli, Ana Paula Correa Crispim, Paula Eillanny Silva Marinho, Karina Soares Loutfi, Sara Tavares Araujo, Luciana Maria Campos E Silva, Isabela Guedes, Alice Martins Alvarenga, Marcele Almeida Santos and 1 more

Open access · greenAbstract read
In one paragraph

Article in Pathogens and global health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Review
  3. Investigating the Theoretical Possibility of Dengue Fever in Ancient Egypt.Journal of preventive medicine and hygiene · 2025
    Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Aline Almeida BentesDepartamento De Pediatria, Universidade Federal De Minas Gerais, Minas Gerais, Brazil.
Roberta Maia De Castro RomanelliDepartamento De Pediatria, Universidade Federal De Minas Gerais, Minas Gerais, Brazil.ORCID 0000-0002-1660-0751
Ana Paula Correa CrispimLaboratório De Vírus, Departamento De Microbiologia, Universidade Federal De Minas Gerais, Minas Gerais, Brazil.
Paula Eillanny Silva MarinhoLaboratório De Vírus, Departamento De Microbiologia, Universidade Federal De Minas Gerais, Minas Gerais, Brazil.
Karina Soares LoutfiHospital Infantil João Paulo II, FHEMIG, Minas Gerais, Brazil.
Sara Tavares AraujoFaculdade De Medicina, Universidade Federal De Minas Gerais, Minas Gerais, Brazil.
Luciana Maria Campos E SilvaFaculdade De Medicina, Universidade Federal De Minas Gerais, Minas Gerais, Brazil.
Isabela GuedesFaculdade De Medicina, Universidade Federal De Minas Gerais, Minas Gerais, Brazil.
Alice Martins AlvarengaHospital Infantil João Paulo II, FHEMIG, Minas Gerais, Brazil.
Marcele Almeida SantosFaculdade De Medicina, Universidade Federal De Minas Gerais, Minas Gerais, Brazil.
Erna Geessien KroonLaboratório De Vírus, Departamento De Microbiologia, Universidade Federal De Minas Gerais, Minas Gerais, Brazil.
Universidade Federal de Minas Gerais · BRFundação Hospitalar do Estado de Minas Gerais · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim was to assess neurological complications in children with an invasive neurological disease by dengue virus (DENV) and the time to resolve symptoms after hospital discharge. A prospective study was conducted at a referral hospital for infectious diseases in Brazil between March 2014 and July 2019. All children hospitalized with neurologic manifestations and DENV RNA detected by real-time reverse transcription-polymerase chain reaction (RT-qPCR) in cerebrospinal fluid (CSF) were followed up until complete resolution of neurological complications. On average, they were followed up for 16 months. Among 56 DENV-positive children, 39% had some neurologic complications after hospital discharge and found that 19.6% were discharged with anticonvulsants due to seizures, 10.7% developed motor complications (e.g. muscle weakness, paresis, ataxia, and walking disability), 5.4% had headaches, and 14.3% had sleep disorders. Among the 56 children, only three had a clinical diagnosis of dengue because the symptoms are nonspecific and 35% showed no change in cerebrospinal fluid (CSF). The average time to resolve complications was 5.9 months (ranging from 1 m to 32 m). These results should alert physicians to the difficulties of a clinical diagnosis of an infection that causes neurological complications after discharge in a significant number of children. RT-qPCR's etiological diagnosis of DENV infection enabled better clinical follow-up for early intervention in children with neurological complications.

Indexed as

DengueDengue VirusChildFollow-Up StudiesHumansImmunoglobulin MProspective StudiesImmunoglobulin MchildrenDengue virusencephalitismeningitismyelitisneurologic complication

Identifiers

PMID34223795
PMCPMC8635603
OpenAlexW3179993892

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.