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Published in: Journal of NeuroVirology 5/2017

01-10-2017 | Short Communication

First report of persistent dengue-1-associated autoimmune neurological disturbance: neuromyelitis optica spectrum disorder

Authors: Marzia Puccioni-Sohler, Alice M. M. Ornelas, Andrea S. de Souza, Mauro Jorge Cabral-Castro, Jessyca T.M.A. Ramos, Carolina Rosadas, Maria Cecilia F. Salgado, Alexandre A. Castiglione, Fernando Ferry, Jose Mauro Peralta, Carolina Moreira Voloch, Amilcar Tanuri, Fernanda Tovar-Moll, Renato Santana Aguiar

Published in: Journal of NeuroVirology | Issue 5/2017

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Abstract

Dengue virus (DENV) causes immune-mediated diseases. Neurological involvement represents a severe condition that is rarely observed in DENV-1 infection. Neuromyelitis optica (NMO)/NMO spectrum disorders (NMOSD) are idiopathic immune-mediated demyelinating syndromes of the central nervous system. We report a 17-year-old female with oligosymptomatic DENV-1 viremia, diagnosed as NMOSD. Magnetic resonance imaging showed spinal cord and brainstem lesions. Antibody for aquaporin 4 was negative. DENV-1 RNA infection was detected by serial RT-PCR and confirmed by phylogenetic analysis in serum. Although there are some reports of NMO post-dengue infection, there are not any published accounts of NMOSD with coexistent and persistent DENV-1 infection.
Literature
go back to reference Carod-Artal FJ, Wichmann O, Farrar J, Gascón J (2013) Neurological complications of dengue virus infection. Lancet Neurol 12(9):906–919CrossRefPubMed Carod-Artal FJ, Wichmann O, Farrar J, Gascón J (2013) Neurological complications of dengue virus infection. Lancet Neurol 12(9):906–919CrossRefPubMed
go back to reference de Sousa AM, Puccioni-Sohler M, Dias Borges A, Fernandes Adorno L, Papais Alvarenga M, Papais Alvarenga RM (2006) Post-dengue neuromyelitis optica: case report of a Japanese-descendent Brazilian child. J Infect Chemother 12(6):396–398CrossRef de Sousa AM, Puccioni-Sohler M, Dias Borges A, Fernandes Adorno L, Papais Alvarenga M, Papais Alvarenga RM (2006) Post-dengue neuromyelitis optica: case report of a Japanese-descendent Brazilian child. J Infect Chemother 12(6):396–398CrossRef
go back to reference Dettogni RS, Tristão-Sá R, Dos Santos M, da Silva FF, Louro ID (2015) Single nucleotide polymorphisms in immune system genes and their association with clinical symptoms persistence in dengue-infected persons. Hum Immunol 76(10):717–723CrossRefPubMed Dettogni RS, Tristão-Sá R, Dos Santos M, da Silva FF, Louro ID (2015) Single nucleotide polymorphisms in immune system genes and their association with clinical symptoms persistence in dengue-infected persons. Hum Immunol 76(10):717–723CrossRefPubMed
go back to reference Klein RS, Hunter CA (2017) Protective and pathological immunity during central nervous system infections. Immunity 46(6):891–909CrossRefPubMed Klein RS, Hunter CA (2017) Protective and pathological immunity during central nervous system infections. Immunity 46(6):891–909CrossRefPubMed
go back to reference Kunishige M, Mitsui T, Tan BH, Leong HN, Takasaki T, Kurane I et al (2004) Preferential gray matter involvement in dengue myelitis. Neurology 63:1980–1981CrossRefPubMed Kunishige M, Mitsui T, Tan BH, Leong HN, Takasaki T, Kurane I et al (2004) Preferential gray matter involvement in dengue myelitis. Neurology 63:1980–1981CrossRefPubMed
go back to reference Lanciotti RS, Calisher CH, Gubler DJ, Chang GJ, Vorndam AV (1992) Rapid detection and typing of dengue viruses from clinical samples by using reverse transcriptase-polymerase chain reaction. J Clin Microbiol 30(3):545–551PubMedPubMedCentral Lanciotti RS, Calisher CH, Gubler DJ, Chang GJ, Vorndam AV (1992) Rapid detection and typing of dengue viruses from clinical samples by using reverse transcriptase-polymerase chain reaction. J Clin Microbiol 30(3):545–551PubMedPubMedCentral
go back to reference Machado C, Amorim J, Rocha J, Pereira J, Lourenço E, Pinho J (2015) Neuromyelitis optica spectrum disorder and varicella-zoster infection. J Neurol Sci 358(1–2):520–521CrossRefPubMed Machado C, Amorim J, Rocha J, Pereira J, Lourenço E, Pinho J (2015) Neuromyelitis optica spectrum disorder and varicella-zoster infection. J Neurol Sci 358(1–2):520–521CrossRefPubMed
go back to reference Masuda S, Mori M, Arai K, Uzawa A, Muto M, Uchida T, Masuda H, Kuwabara S (2015) Epstein-Barr virus persistence and reactivation in neuromyelitis optica. J Neurol Neurosurg Psychiatry 86(10):1137–1142CrossRefPubMed Masuda S, Mori M, Arai K, Uzawa A, Muto M, Uchida T, Masuda H, Kuwabara S (2015) Epstein-Barr virus persistence and reactivation in neuromyelitis optica. J Neurol Neurosurg Psychiatry 86(10):1137–1142CrossRefPubMed
go back to reference Puccioni-Sohler M, Soares CN, Papaiz-Alvarenga R, Castro MJ, Faria LC, Peralta JM (2009) Neurologic dengue manifestations associated with intrathecal specific immune response. Neurology 73(17):1413–1417CrossRefPubMed Puccioni-Sohler M, Soares CN, Papaiz-Alvarenga R, Castro MJ, Faria LC, Peralta JM (2009) Neurologic dengue manifestations associated with intrathecal specific immune response. Neurology 73(17):1413–1417CrossRefPubMed
go back to reference Sellner J, Hemmer B, Mühlau M (2010) The clinical spectrum and immunobiology of parainfectious neuromyelitis optica (Devic) syndromes. J Autoimmun 34(4):371–379CrossRefPubMed Sellner J, Hemmer B, Mühlau M (2010) The clinical spectrum and immunobiology of parainfectious neuromyelitis optica (Devic) syndromes. J Autoimmun 34(4):371–379CrossRefPubMed
go back to reference Tran C, Du Pasquier RA, Cavassini M, Guex-Crosier Y, Meuli R, Ciuffreda D, Waeber G (2007) Neuromyelitis optica following CMV primo-infection. J Intern Med 261(5):500–503CrossRefPubMed Tran C, Du Pasquier RA, Cavassini M, Guex-Crosier Y, Meuli R, Ciuffreda D, Waeber G (2007) Neuromyelitis optica following CMV primo-infection. J Intern Med 261(5):500–503CrossRefPubMed
go back to reference WHO (2009) Dengue guidelines for diagnosis, treatment, prevention and control. World Health Organization, Geneva WHO (2009) Dengue guidelines for diagnosis, treatment, prevention and control. World Health Organization, Geneva
go back to reference Wingerchuk DM, Banwell B, Bennett JL, Cabre P, Carroll W, Chitnis T, de Seze J, Fujihara K, Greenberg B, Jacob A, Jarius S, Lana-Peixoto M, Levy M, Simon JH, Tenembaum S, Traboulsee AL, Waters P, Wellik KE, Weinshenker BG (2015) International consensus diagnostic criteria for neuromyelitis optica spectrum disorders. Neurology 85(2):177–189CrossRefPubMedPubMedCentral Wingerchuk DM, Banwell B, Bennett JL, Cabre P, Carroll W, Chitnis T, de Seze J, Fujihara K, Greenberg B, Jacob A, Jarius S, Lana-Peixoto M, Levy M, Simon JH, Tenembaum S, Traboulsee AL, Waters P, Wellik KE, Weinshenker BG (2015) International consensus diagnostic criteria for neuromyelitis optica spectrum disorders. Neurology 85(2):177–189CrossRefPubMedPubMedCentral
Metadata
Title
First report of persistent dengue-1-associated autoimmune neurological disturbance: neuromyelitis optica spectrum disorder
Authors
Marzia Puccioni-Sohler
Alice M. M. Ornelas
Andrea S. de Souza
Mauro Jorge Cabral-Castro
Jessyca T.M.A. Ramos
Carolina Rosadas
Maria Cecilia F. Salgado
Alexandre A. Castiglione
Fernando Ferry
Jose Mauro Peralta
Carolina Moreira Voloch
Amilcar Tanuri
Fernanda Tovar-Moll
Renato Santana Aguiar
Publication date
01-10-2017
Publisher
Springer International Publishing
Published in
Journal of NeuroVirology / Issue 5/2017
Print ISSN: 1355-0284
Electronic ISSN: 1538-2443
DOI
https://doi.org/10.1007/s13365-017-0555-7

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