Paper II
2023 March (Supplementary) (2010 Scheme) · 40 marks · 120 min

Question

Lab diagnosis of dengue fever

Q62 marksShort Notes

Answer

Laboratory diagnosis of dengue fever (Dengue virus, a Flavivirus):

  • NS1 antigen — detectable from day 1, before antibody develops, useful for early diagnosis.
  • IgM ELISA — becomes positive from about day 5 of illness, indicating recent infection.
  • IgG ELISA — the IgM:IgG pattern helps distinguish primary from secondary infection.
  • RT-PCR — detects viral RNA in the early viraemic phase, allows serotyping.
  • Full blood count — thrombocytopenia and rising haematocrit (haemoconcentration, reflecting plasma leakage) are key supportive findings.
  • Tourniquet test — a simple bedside test for capillary fragility, supporting the diagnosis of haemorrhagic tendency.

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