Evidence map›Paper›PMID 41191721›Full record

ArticleRevista do Instituto de Medicina Tropical de Sao Paulo2025

Atypical dengue fever in a partially vaccinated patient: a case report.

Vasco João Mendes, Ezequias Batista Martins, Otilia Lupi, Anielle de Pina-Costa, Guilherme Amaral Calvet, Clarisse da Silveira Bressan, Ana Beatriz T B C Ferreira, Fernanda de Bruycker-Nogueira, Ana Maria Bispo Filippis, Patrícia Brasil

Abstract readCase Reports
In one paragraph

Article in Revista do Instituto de Medicina Tropical de Sao Paulo, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Vasco João MendesFundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Rio de Janeiro, Rio de Janeiro, Brazil.ORCID http://orcid.org/0009-0001-1828-1432
Ezequias Batista MartinsFundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Laboratório de Doenças Febris Agudas, Rio de Janeiro, Rio de Janeiro, Brazil.ORCID http://orcid.org/0000-0003-3373-0408
Otilia LupiFundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Laboratório de Doenças Febris Agudas, Rio de Janeiro, Rio de Janeiro, Brazil.ORCID http://orcid.org/0000-0002-1126-1287
Anielle de Pina-CostaFundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Laboratório de Doenças Febris Agudas, Rio de Janeiro, Rio de Janeiro, Brazil.ORCID http://orcid.org/0000-0002-5527-2295
Guilherme Amaral CalvetFundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Laboratório de Doenças Febris Agudas, Rio de Janeiro, Rio de Janeiro, Brazil.ORCID http://orcid.org/0000-0002-3545-5238
Clarisse da Silveira BressanFundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Laboratório de Doenças Febris Agudas, Rio de Janeiro, Rio de Janeiro, Brazil.ORCID http://orcid.org/0000-0003-3870-871X
Ana Beatriz T B C FerreiraFundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Rio de Janeiro, Rio de Janeiro, Brazil.ORCID http://orcid.org/0009-0000-3882-9293
Fernanda de Bruycker-NogueiraFundação Oswaldo Cruz, Instituto Oswaldo Cruz, Laboratório de Flavivírus, Rio de Janeiro, Rio de Janeiro, Brazil.ORCID http://orcid.org/0000-0002-7797-7579
Ana Maria Bispo FilippisFundação Oswaldo Cruz, Instituto Oswaldo Cruz, Laboratório de Flavivírus, Rio de Janeiro, Rio de Janeiro, Brazil.ORCID http://orcid.org/0000-0002-9815-9022
Patrícia BrasilFundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Laboratório de Doenças Febris Agudas, Rio de Janeiro, Rio de Janeiro, Brazil.ORCID http://orcid.org/0000-0001-9555-7976

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dengue fever is an acute, systemic, and debilitating febrile illness that poses a significant global public health threat. Vaccination is important in combating the virus in highly prevalent countries, as it reduces the risk of symptomatic infection, hospitalizations, morbidity, and mortality. We report a unique case of atypical dengue fever in a previously healthy 42-year-old Brazilian woman. She developed dengue without the characteristic fever or elevated inflammatory markers 15 days after her initial TAK-003 (Q-denga) vaccine dose, setting her case apart from typical manifestations. 'Whether the mildness of the case was due to the vaccine's protective effect or if it was caused by the vaccine virus itself, as genetic sequencing of DENV-2 was not possible, is unclear. In regions where the vaccine is being introduced, atypical cases, particularly those without fever, require thorough investigation, so dengue can be excluded.

Indexed as

DengueDengue VaccinesAdultDengue VirusFemaleHumansDengue Vaccines

Identifiers

PMID41191721
PMCPMC12591270

What OpenQuestion holds

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LicenceCC BY
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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.