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Dengue and post-infection fatigue: Findings from a prospective cohort-the Colombo Dengue Study

Transactions of the Royal Society of Tropical Medicine and Hygiene, ISSN: 1878-3503, Vol: 115, Issue: 6, Page: 669-676
2021
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Article Description

Background: Previous studies on post-infection fatigue in dengue are few but suggest that up to 25% of dengue patients may suffer from fatigue. This study aimed to evaluate the prevalence and associations of post-infection fatigue in dengue patients compared with non-dengue fever patients. Methods: Post-infection fatigue and its demographic and clinical associations were assessed in adult dengue and non-dengue fever patients 2 months after the acute infection in a prospective cohort study in Sri Lanka. Fatigue at 2 months (primary endpoint) was assessed with the fatigue questionnaire as a dichotomous outcome based on a pre-recommended cut-off (score ≥4) and as the total score from the questionnaire (higher score indicates more fatigue). Results: Of 260 patients, 158 had dengue and, of these, 51 (32%) had fatigue at 2 months. Risk was higher in dengue patients (vs non-dengue; relative risk [RR] 4.93 [95% confidence interval {CI} 2.3 to 10.4]) and more so in female dengue patients (vs male dengue patients; RR 2.45 [95% CI 1.24 to 4.86]). Severe dengue patients had a higher mean fatigue score (p=0.024). Conclusions: Post-infection fatigue is an underappreciated burden of this widely prevalent infection. Our findings are useful to triage patients at risk of fatigue for follow-up.

Bibliographic Details

Sigera, Ponsuge C; Rajapakse, Senaka; Weeratunga, Praveen; De Silva, Nipun L; Gomes, Laksiri; Malavige, Gathsaurie N; Rodrigo, Chaturaka; Fernando, Sumadhya D

Oxford University Press (OUP)

Immunology and Microbiology; Medicine

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