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Retrospective Study
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Virol. Dec 25, 2025; 14(4): 115071
Published online Dec 25, 2025. doi: 10.5501/wjv.v14.i4.115071
Detection of dengue virus encephalitis in central part of Sri Lanka
Inuri Perera, Achini Weerathunga, Nipuni Arachchige, Lakmali Rajamanthri, Sachini Fernando, Rohitha Muthugala
Inuri Perera, Sachini Fernando, Centre for Biotechnology, Department of Zoology, Faculty of Applied Sciences, University of Sri Jayewardenepura, Nugegoda 10250, Western, Sri Lanka
Achini Weerathunga, Nipuni Arachchige, Rohitha Muthugala, Department of Molecular Biology, Medical Research Institute, Colombo 00800, Western, Sri Lanka
Lakmali Rajamanthri, Rohitha Muthugala, Department of Virology, National Hospital Kandy, Kandy 20000, Sri Lanka
Author contributions: Perera I and Muthugala R had conceptualized the study; Perera I, Weerathunga A, and Arachchige N were involved in investigation and formal analysis; Rajamanthri L had obtained clinical and laboratory data; Perera I conducted writing of initial draft and validation of data; Fernando S and Muthugala R reviewed and edit the manuscript; and all of the authors read and approved the final version of the manuscript to be published.
Institutional review board statement: This study was approved by the Medical Ethics Committee of the National Hospital Kandy, approval No. NHK/ERC/11/2021.
Informed consent statement: Informed consent was waived due to retrospective nature of the study. Data was analyzed anonymously.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: Preliminary is available with corresponding author and can be shared following reasonable request.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Rohitha Muthugala, MD, Consultant, Department of Molecular Biology, Medical Research Institute, No. 527 Dr. Danister De Silva Mawatha, Colombo 00800, Western, Sri Lanka. rohithavm@yahoo.com
Received: October 13, 2025
Revised: November 19, 2025
Accepted: December 11, 2025
Published online: December 25, 2025
Processing time: 79 Days and 16.3 Hours
Core Tip

Core Tip: Encephalitis due to arbovirus infections is a significant public health problem in tropical Asia. Encephalitis is caused by wide range of neurotropic pathogens, and flaviviruses are one of the main causative agents in tropics. Sri Lanka reports a considerable number of central nervous system infections annually. Both dengue and Japanese encephalitis are endemic, and cases of Zika and West Nile virus infections were reported in Sri Lanka. This study describes dengue virus (DENV) infections in clinically suspected patients with encephalitis in the central part of the country. A retrospective observational analysis was conducted on 99 cerebrospinal fluid samples. One sample was positive for dengue serotype 3 RNA and five samples were positive for dengue immunoglobulin M indicating recent DENV infections. These findings highlight the presence of DENV central nervous system infections and emphasize the need for broader surveillance and advanced diagnostics in future.