Aminotransferases in Relation to the Severity of Dengue: A Systematic Review
Pavan Kumar Reddy Kalluru, Mahesh Mamilla, Sai Sudha Valisekka, Saikiran Mandyam, Ernesto Calderón Martinez, Sarojini Posani, Shriya Sharma, Ravikishore Reddy Gopavaram, Borgharkar Gargi, Anvitha Gaddam, Sushritha Reddy
Abstract
A systematic review was conducted to investigate the relationship between aminotransferases and the severity of dengue infection, which is a prevalent and significant infection in tropical and subtropical regions. Aminotransferases are enzymes that are often elevated in dengue due to the liver's physiological and immunological response to the infection. This review focused on analyzing various studies that examined the correlation between aminotransferase levels and the severity of dengue. Extensive literature searches were performed using ("dengue*" OR "dengue fever*" OR "dengue haemorrhagic fever*" OR "dengue shock syndrome*") AND ("alanine aminotransferase*" OR "aspartate aminotransferase*") on PubMed. The selected articles were thoroughly reviewed, encompassing epidemiology, pathogenesis, and clinical manifestations of dengue. The consistent findings across the studies indicated that aminotransferases can serve as predictive markers for dengue severity. Therefore, early assessment of liver enzyme levels is crucial in dengue cases, and elevated levels should be closely monitored to prevent adverse outcomes.