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A comparative study of serological diagnosis of Dengue outbreak 2019
Authors:Muhammad Bilal Habib  Noreen Sher Akbar  Anber Saleem
Affiliation:1. National Institute of Health Islamabad Pakistan 44000;2. DBS&H CEME National University of Sciences and Technology, Islamabad, Pakistan;3. School of Dentistry, Shaheed zulfiqar ali Bhutto medical university Islamabad
Abstract:PurposeThe interpretation & correlation of the different laboratory parameters in positive dengue cases in order to evaluate that which laboratory test is more significant for diagnosis of Dengue.MethodsProspective examination of samples (patients'' serum) for dengue virus of different genotype by using multiplex anti-dengue IgM, IgG. We have done NS-1 test by (ICT) immunochromatographic devices, and complete blood picture (CBC) by Sysmex XP-100.ResultDetection of Viral RNA in 100 patients showed effects in the total of 73 (73.0%) samples. This graphical comparison shows the whole positive cases including dengue NS-I antigen, dengue serology (IgM & IgG), total 62 positive cases of NS-I are detected, 10 positive cases of dengue IgM and 9 positive cases of IgG detected, in which Complete Blood Test (CBC) shows remarkable reduction in Platelets (32 cases) and Leucopenia in (24 positive cases).ConclusionIn this research, it is concluded that the diagnosis of dengue cases is preliminary limited to initial stages i.e. CBC or sometimes dengue NS-I, as dengue IgM severity is more effective than that of Dengue NS-I & IgG. Many patients who had negative results in CBC and NS-1 testing, became positive when IgM and IgG serology testing has been done.
Keywords:Dengue   NS-1   IgG   IgM   Immunochrometographic test
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