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14th ICID - Poster Abstracts - International Society for Infectious ...

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When citing these abstracts please use the following reference:<br />

Author(s) of abstract. Title of abstract [abstract]. Int J Infect Dis 2010;14S1: Abstract number.<br />

Please note that the official publication of the <strong>International</strong> Journal of <strong>Infectious</strong> Diseases 2010, Volume 14, Supplement 1<br />

is available electronically on http://www.sciencedirect.com<br />

Final Abstract Number: 73.015<br />

Session: Animal Models, Pathogenesis & Host Defenses<br />

Date: Friday, March 12, 2010<br />

Time: 12:30-13:30<br />

Room: <strong>Poster</strong> & Exhibition Area/Ground Level<br />

Type: <strong>Poster</strong> Presentation<br />

Levels of pro-inflammatory cytokines and soluble cell adhesion molecules serves as early<br />

markers <strong>for</strong> recognition of diseases severity in patients with dengue fever and dengue<br />

hemorrhagic fever<br />

M. Odreman 1 , S. Vielma 1 , C. Torres 1 , L. Tellez 2 , J. Mendoza 2 , S. Perez 1 , N. Mosqueda 1 , M.<br />

Muñoz 1 , J. Muñoz 1 , J. Goyo 1<br />

1 Universidad de Los Andes, Facultad de Medicina, Merida, Merida, Venezuela, 2 Universidad de<br />

Los Andes, Merida, Merida, Venezuela<br />

Background: Several mechanisms have been proposed to explain the pathogenesis of dengue<br />

virus infection. One of the most important finding is the production of pro-inflammatory cytokines<br />

as responsible of activation of vascular wall, plasma leakage and subsequently disease severity.<br />

Our aim was to determine levels of pro-inflammatory cytokines during the course and severity of<br />

dengue infection.<br />

Methods: Seventeen febrile patients with dengue infection (RT-PCR and IgM-anti-dengue) were<br />

included and classified by diseases severity (OMS). Dengue fever (DF) were observed in 7/17<br />

cases (2 Adults, 22-56 years old, 39 ± 24.04; and 5 children 3-11 years old, 7.60 ± 3.78); and ten<br />

cases had Dengue Hemorrhagic Fever (DHF, 2 Adults; 22-47 years-old, 34 ± 17.67 and 8<br />

children, 5 months-12 year-olds, 4.52 ± 4.27). Two afebrile patients were included as controls.<br />

At least two serum samples were collected during either acute phase (0.05) and sTNF- (p=0.026) were significant higher in DHF cases<br />

during the critical phase (4d) of the diseases. High soluble levels of ICAM-1 were observed in<br />

FD and DHF cases, with a significant differences (p=0.025) during critical phase of the disease.<br />

Moreover, significant soluble levels of VCAM-1 were observed in both cases of DF (p=0.013) and<br />

DHF (p=0.011) during the early stages of the clinical course (

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