Evidence map›Paper›PMID 42909991›Full record

ReviewCureus2026

Chronic Complications Following Dengue Infection: A Scoping Review.

Franklin Joel Viera Heredia, Emilio José Zambrano Narváez, Anahí Milena Yánez Pilco, Thalia Mishell Escudero Andino, Daniela Alejandra Fernández Gómez, Nicolás Andre Gallardo Larreina, Paola Alejandra Fuentes Lara, Laura Azalea Salazar Heredia

Abstract readReview
In one paragraph

Review in Cureus, 2026. 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

8 authors.

Franklin Joel Viera HerediaMedicine and Surgery, Pontificia Universidad Católica del Ecuador, Quito, ECU.
Emilio José Zambrano NarváezMedicine and Surgery, Pontificia Universidad Católica del Ecuador, Quito, ECU.
Anahí Milena Yánez PilcoGeneral Practice, Ministerio de Salud Pública, Quito, ECU.
Thalia Mishell Escudero AndinoGeneral Practice, Ministerio de Salud Pública, Quito, ECU.
Daniela Alejandra Fernández GómezSurgery, Ministerio de Salud Pública, Quito, ECU.
Nicolás Andre Gallardo LarreinaGeneral Medicine, Ministerio de Salud Pública, Quito, ECU.
Paola Alejandra Fuentes LaraGeneral Practice, Ministerio de Salud Pública, Quito, ECU.
Laura Azalea Salazar HerediaMedicine, Universidad Nacional de La Plata, La Plata, ARG.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dengue virus infection has increased substantially in Latin America, prompting epidemiological alerts from regional health authorities in recent years. While most published research focuses on the acute phase, chronic multisystemic sequelae remain poorly characterized. This scoping review aimed to identify and describe chronic complications in adult patients following dengue infection, as reported in the available scientific literature. A scoping review was conducted following the PRISMA-ScR guidelines. A structured Population, Concept, Context (PCC) question guided searches of PubMed (National Library of Medicine, Bethesda, Maryland), Scopus (Elsevier, Amsterdam, the Netherlands), Google Scholar (Google, Mountain View, California), EMBASE (Elsevier, Amsterdam, the Netherlands), Cochrane Library (John Wiley & Sons, Hoboken, New Jersey), and LILACS (BIREME, São Paulo, Brazil), and gray literature from January 2005 to June 15, 2026. Articles were screened independently by eight reviewers using Rayyan; inter-rater reliability was assessed using Fleiss' kappa (κ = 0.81, 95% CI: 0.74-0.88), and disagreements were resolved by consensus. Of the 222 identified records, 62 studies met the inclusion criteria after deduplication and full-text screening. Neurological complications were the most frequently represented category among the included publications (30.6%, n = 19), followed by ophthalmological (19.4%, n = 12), heterogeneous persistent symptoms (12.9%, n = 8), fatigue (9.7%, n = 6), multisystemic (9.7%, n = 6), psychiatric (9.7%, n = 6), cardiological (4.8%, n = 3), and immunological (3.2%, n = 2) complications. These proportions reflect the distribution of the published literature rather than the clinical prevalence of complications among dengue patients, given that approximately one-third of the included studies were case reports or case series. The evidence base includes the largest population-based cohort of post-acute dengue sequelae to date (n = 55,870, Singapore), a two-year disability-adjusted life-year (DALY) burden analysis from the same registry, the first systematic review of dengue-associated Guillain-Barré syndrome, the first reported case of chronic dengue encephalitis with brain-tissue DENV RNA confirmed by metagenomic sequencing, and two narrative reviews that substantially expanded the evidence base on psychiatric sequelae. Dengue infection is associated with a broad and heterogeneous spectrum of chronic complications affecting multiple organ systems, including elevated post-acute cardiovascular, neuropsychiatric, and autoimmune risks, as well as a measurable disease and healthcare cost burden. The absence of a consistent relationship between acute severity and chronic outcomes supports structured, evidence-based, long-term post-dengue follow-up, particularly for patients with persistent symptoms or clinically relevant risk factors and for underrepresented Latin American populations.

Indexed as

chronic sequelaedengue infectionlatin americaneurological complicationsophthalmological complicationspost-dengue syndromepsychiatric complicationsscoping reviewviral neurotropism

Identifiers

PMID42909991
PMCPMC13684900

What OpenQuestion holds

Textmetadata
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.