Evidence map›Paper›PMID 34583338›Full record

ArticleThe American journal of tropical medicine and hygiene2021

Contribution of Viral Respiratory Infections to Dengue-Like Illness Presentation at a Community Clinic in Southern Malaysia.

Amreeta Dhanoa, Chin Fang Ngim, Nor'azim Mohd Yunos, Syed M Tupur Husain, Lian Yih Pong, Wan Fadhilah Wan Ismail, Robert D Hontz, Sharifah Syed Hassan

Abstract read
In one paragraph

Article in The American journal of tropical medicine and hygiene, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Amreeta DhanoaJeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Malaysia.
Chin Fang NgimJeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Malaysia.
Nor'azim Mohd YunosJeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Malaysia.
Syed M Tupur HusainUnited States Naval Medical Research Unit-2, Singapore.
Lian Yih PongJeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Malaysia.
Wan Fadhilah Wan IsmailMahmoodiah Health Clinic, Ministry of Health, Malaysia.
Robert D HontzUnited States Naval Medical Research Unit-2, Singapore.
Sharifah Syed HassanJeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Malaysia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study explored the contribution of viral respiratory infections (VRIs) in dengue-like illness (DLI) patients and their distinguishing clinicolaboratory parameters. Two hundred DLI patients were prospectively recruited (July 1- October 1, 2019) from a community clinic in Southern Malaysia. Patients ≥ 18 years with acute fever and fulfilling the WHO criteria of probable dengue were recruited. They underwent blood testing: blood counts, rapid dengue tests (nonstructural antigen-1/IgM) and polymerase chain reaction (PCR) for dengue, Zika, chikungunya, and Leptospira. Nasopharyngeal swabs (NPSs) were collected for FilmArray®RP2plus testing. From the 200 NPSs, 58 respiratory viruses (RVs) were detected in 54 patients. Of the 96 dengue-confirmed cases, 86 had dengue mono-infection, and 10 were coinfected with RVs. Of the 104 nondengue, 44 were RV positive and 4 Leptospira positive. Zika and chikungunya virus were not detected. Overall, the etiological diagnosis was confirmed for 72% of patients. Clinicolaboratory parameters were compared between dengue mono-infection and VRI mono-infection. Patients with coinfections were excluded. Multiple logistic regression showed that recent household/neighborhood history of dengue (adjusted odds ratio [aOR]: 5.9, 95% CI = 1.7-20.7), leukopenia (aOR: 12.5, 95% CI = 2.6-61.4) and thrombocytopenia (aOR: 5.5, 95% CI = 1.3-23.0) predicted dengue. Inversely, rhinorrhoea (aOR: 0.1, 95% CI = 0.01-0.3) and cough (aOR: 0.3, 95% CI = 0.1-0.9) favored VRI. Thus, VRIs comprise many infections diagnosed initially as DLIs. Early clinicolaboratory parameters can guide physicians screen patients for further testing.

Indexed as

AdultDengueFemaleHumansMalaysiaMaleProspective StudiesRespiratory Tract InfectionsVirus DiseasesYoung Adult

Identifiers

PMID34583338
PMCPMC8733527

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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.