Infectious Diseases and Tropical Medicine Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
Division of Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Am J Trop Med Hyg. 2018 May;98(5):1469-1471. doi: 10.4269/ajtmh.17-0634. Epub 2018 Mar 15.
Dengue fever (DF) is a mosquito-borne acute viral disease presenting with hemorrhagic manifestations in severe cases. Southeast Iran is in close proximity to Pakistan, an endemic country for DF. This cross-sectional study was conducted in the Sistan and Baluchestan province in the southeast of Iran to investigate possibility of DF (immunoglobulin M [IgM], immunoglobulin G [IgG], and nonstructural protein 1 [NS1] antigen tests) in 60 clinically suspected patients (April 2013 to August 2015). NS1 protein was detected in 5% ( = 3), at least one of the antibodies (IgM and/ or IgG) was detected in 11% ( = 7) of the samples. Five patients identified as of acutely infected. There was a simultaneous presence of NS1 protein and IgG or IgM antibodies in 4% ( = 2) of patients. Previous studies show establishment of potential vectors in this area. These evidences support the hypothesis that DF can be a health concern in Southeast Iran with potential future outbreaks.
登革热(DF)是一种由蚊子传播的急性病毒性疾病,在严重情况下会出现出血症状。伊朗东南部与巴基斯坦接壤,巴基斯坦是登革热的流行地区。本横断面研究在伊朗东南部的锡斯坦和俾路支省进行,目的是在 60 例临床疑似患者中(2013 年 4 月至 2015 年 8 月)调查登革热(免疫球蛋白 M [IgM]、免疫球蛋白 G [IgG]和非结构蛋白 1 [NS1]抗原检测)的可能性。在 5%(=3)的样本中检测到 NS1 蛋白,在 11%(=7)的样本中至少检测到一种抗体(IgM 和/或 IgG)。5 例患者被确定为急性感染。在 4%(=2)的患者中同时存在 NS1 蛋白和 IgG 或 IgM 抗体。先前的研究表明,该地区已经建立了潜在的媒介。这些证据支持了这样一种假设,即在伊朗东南部,登革热可能成为一个健康隐患,并有可能爆发未来的疫情。