The US Centers for Disease Control and Prevention (CDC) has developed a new diagnostic test to detect the presence of dengue virus in people with symptoms of dengue fever or dengue hemorrhagic fever. The CDC DENV-1-4 Real Time RT PCR Assay test, authorized by the US Food and Drug Administration (FDA) for use in the United States, can be performed using equipment and supplies many public health laboratories already use to diagnose influenza. It will help diagnose dengue within the first 7 days after symptoms of the illness appear, which is when most people are likely to seek professional care and the dengue virus is likely to be present in their blood. This is the first FDA-approved molecular test for dengue that detects evidence of the virus itself. Dengue is now a reportable disease in the United States, and the availability of state-of-the-art dengue diagnostics will improve patient management and the public health response to dengue. Symptoms include high fever, severe headache, severe pain behind the eyes, joint pain, muscle and bone pain, rash and mild bleeding involving the nose or gums, and easy bruising. Severe infections can result in hemorrhage, shock, and death. Dengue is caused by any of 4 dengue viruses, which are transmitted by Aedes mosquitoes. Although there are no FDA-licensed vaccines to prevent dengue and no medicines specifically approved to treat the disease, timely medical care can greatly reduce the possibility of death. People with symptoms should immediately contact a healthcare professional. Early identification may be very helpful in determining the best course of treatment. More information about the new laboratory test can be obtained at cdc.gov/dengue.
(Source: CDC, June 20, 2012)