{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T21:38:51Z","timestamp":1776893931325,"version":"3.51.2"},"reference-count":127,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2023,5,4]],"date-time":"2023-05-04T00:00:00Z","timestamp":1683158400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"National Institute of Science and Technology for Emerging and Re-emerging Viruses\u2014INCT-VER\/CNPq","award":["406360\/2022-7"],"award-info":[{"award-number":["406360\/2022-7"]}]},{"name":"National Institute of Science and Technology for Emerging and Re-emerging Viruses\u2014INCT-VER\/CNPq","award":["308600\/2022-3"],"award-info":[{"award-number":["308600\/2022-3"]}]},{"name":"National Council for Scientific and Technological Development","award":["406360\/2022-7"],"award-info":[{"award-number":["406360\/2022-7"]}]},{"name":"National Council for Scientific and Technological Development","award":["308600\/2022-3"],"award-info":[{"award-number":["308600\/2022-3"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pathogens"],"abstract":"<jats:p>Arboviruses, such as yellow fever virus (YFV), dengue virus (DENV), and chikungunya virus (CHIKV), present wide global dissemination and a pathogenic profile developed in infected individuals, from non-specific clinical conditions to severe forms, characterised by the promotion of significant lesions in different organs of the harbourer, culminating in multiple organ dysfunction. An analytical cross-sectional study was carried out via the histopathological analysis of 70 samples of liver patients, collected between 2000 and 2017, with confirmed laboratory diagnoses, who died due to infection and complications due to yellow fever (YF), dengue fever (DF), and chikungunya fever (CF), to characterise, quantify, and compare the patterns of histopathological alterations in the liver between the samples. Of the histopathological findings in the human liver samples, there was a significant difference between the control and infection groups, with a predominance of alterations in the midzonal area of the three cases analysed. Hepatic involvement in cases of YF showed a greater intensity of histopathological changes. Among the alterations evaluated, cell swelling, microvesicular steatosis, and apoptosis were classified according to the degree of tissue damage from severe to very severe. Pathological abnormalities associated with YFV, DENV, and CHIKV infections showed a predominance of changes in the midzonal area. We also noted that, among the arboviruses studied, liver involvement in cases of YFV infection was more intense.<\/jats:p>","DOI":"10.3390\/pathogens12050680","type":"journal-article","created":{"date-parts":[[2023,5,5]],"date-time":"2023-05-05T02:56:51Z","timestamp":1683255411000},"page":"680","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Comparative Analysis of Human Hepatic Lesions in Dengue, Yellow Fever, and Chikungunya: Revisiting Histopathological Changes in the Light of Modern Knowledge of Cell Pathology"],"prefix":"10.3390","volume":"12","author":[{"given":"Yasmin Pacheco","family":"Ribeiro","sequence":"first","affiliation":[{"name":"Center for Biological and Health Sciences, State University of Par\u00e1, Bel\u00e9m 66087-662, PA, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8391-2694","authenticated-orcid":false,"given":"Luiz Fabio 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