Dengue molecular dynamics: viral load and serotype shifts predict severity and death in Kolkata, Eastern India

The study identifies a 'prevalence-virulence dissociation' where DENV-2 dominates numerically but DENV-3 drives mortality. Quantitative viral load is a robust prognostic marker. Integrating real-time molecular surveillance and Ct threshold into triage protocols is vital for mitigating fatal outcomes in hyperendemic regions.

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Publication Details

Journal
Transactions of the Royal Society of Tropical Medicine and Hygiene
Published
2026-02-24
DOI
https://doi.org/10.1093/trstmh/trag027
Primary Topic
Mosquito-borne diseases and control
Type
article
Field-Weighted Citation Impact
0.00
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article

Dengue molecular dynamics: viral load and serotype shifts predict severity and death in Kolkata, Eastern India

Swagata Ganguly Bhattacharjee, Arup Kumar Pattanayak, Dipankar Maji, Kaushik Pramanik et al.
Transactions of the Royal Society of Tropical Medicine and Hygiene
Mosquito-borne diseases and control
article

Dengue molecular dynamics: viral load and serotype shifts predict severity and death in Kolkata, Eastern India

Swagata Ganguly Bhattacharjee, Arup Kumar Pattanayak, Dipankar Maji, Kaushik Pramanik, Indira Dey, Suman Kundu
article en

Abstract

The study identifies a 'prevalence-virulence dissociation' where DENV-2 dominates numerically but DENV-3 drives mortality. Quantitative viral load is a robust prognostic marker. Integrating real-time molecular surveillance and Ct threshold into triage protocols is vital for mitigating fatal outcomes in hyperendemic regions.

Transactions of the Royal Society of Tropical Medicine and Hygiene
Nil Ratan Sircar Medical College and Hospital (IN), Salt Lake Regional Medical Center (US), ESI - Post Graduate Institute of Medical Science and Research (IN)
Good health and well-being
Openalex Percentile: Top 26%
Mosquito-borne diseases and control
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