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Tissue infection by dengue 2 viruses peaks just after viremia ends. In humans vascular permeability occurs at about the time that viremia ends (defervescence) and cellular infection is maximal based upon the monkey model (Marchette et al JID 128:23-30, 1973; Halstead SB in Schlesinger WR Togaviruses Academic Press NY 1980. pp 107-73).