Levels of Angiopoietin 2 Are Predictive for Mortality in Patients Infected With Yellow Fever Virus.

van de Weg, Cornelia A M; Thomazella, Mateus V; Marmorato, Mariana P; Correia, Carolina A; Dias, Juliana Z C; Maestri, Alvino; Zanella, Luiz G F A B E; Cerqueira, Natalia B et al. · J Infect Dis · 2024

case_control · Level III

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Abstract

In 2018 there was a large yellow fever outbreak in São Paulo, Brazil, with a high fatality rate. Yellow fever virus can cause, among other symptoms, hemorrhage and disseminated intravascular coagulation, indicating a role for endothelial cells in disease pathogenesis. Here, we conducted a case-control study and measured markers related to endothelial damage in plasma and its association with mortality. We found that angiopoietin 2 is strongly associated with a fatal outcome and could serve as a predictive marker for mortality. This could be used to monitor severe cases and provide care to improve disease outcome.

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