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Dengue -IgG (CLIA)

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The Dengue IgG test detects IgG antibodies against the dengue virus, indicating past exposure or secondary infection.

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🧪 Dengue – IgG (CLIA)

Test Type: Serology | Method: CLIA (Chemiluminescence Immunoassay)

🧾 What is Dengue IgG?

The Dengue IgG test detects IgG antibodies against the dengue virus, indicating past exposure or secondary infection. It is not used for early diagnosis but rather for confirming previous infection or distinguishing primary vs secondary dengue.

⚗️ What is CLIA?

CLIA (Chemiluminescent Immunoassay) is a high-sensitivity and automated laboratory method that uses a chemiluminescent reaction to detect antibodies or antigens. It’s more accurate and faster than conventional ELISA in many labs.

🎯 Clinical Purpose

Use

Explanation

Identify past dengue infection

Helps confirm previous exposure to dengue virus

Distinguish between primary and secondary infection

High IgG levels early in illness indicate secondary dengue

Aid in diagnosis with other tests

Often done with Dengue NS1 and IgM for full picture

🔬 When is this test recommended?

  • Patient has symptoms suggestive of dengue (fever, body ache, rash)
  • When Dengue NS1 or IgM are inconclusive
  • In later stages of illness (after 7–10 days of symptom onset)
  • For retrospective diagnosis or sero-surveillance

⏱️ Timeline of Antibody Appearance

Antibody

When it appears

What it indicates

IgM

3–5 days after onset

Recent or primary infection

IgG

~7–10 days onward

Past or secondary infection

🧪 Test Parameters

Aspect

Details

Sample Type

Serum (blood)

Fasting Required

❌ Not required

Method

CLIA

Result Format

Qualitative (Positive/Negative) or Semi-Quantitative (Index/COI)

Turnaround Time

12–24 hours

📊 Interpretation of Results

Result

Interpretation

Negative

No prior dengue infection or too early to detect IgG

Positive (IgG only)

Past infection or secondary infection

Positive (IgM + IgG)

Ongoing secondary dengue

Positive IgG alone does not confirm acute infection — must be interpreted alongside clinical symptoms and other test results (NS1, IgM).

🔗 Recommended Conjunct Tests

Test

Why

Dengue NS1 Antigen

Detects virus in early phase (0–5 days)

Dengue IgM

Indicates active or recent primary infection

CBC

Check for low platelet count and rising hematocrit

Liver Function Tests

Assess liver stress due to dengue infection

CRP or ESR

Monitor inflammation and systemic response

⚠️ Limitations

  • Cannot differentiate between past infection and current reinfection by itself.
  • May cross-react with antibodies from other flaviviruses (e.g., Zika, West Nile).
  • False positives may occur if tested too late in acute illness with only residual IgG.

📍 Summary

Feature

Details

Marker For

Past dengue infection or secondary dengue

Method

CLIA (Chemiluminescence Immunoassay)

When to Use

After day 7 of fever onset, or for seroprevalence

Complementary Tests

Dengue NS1, Dengue IgM, CBC

Fasting Required

No

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