.

Yashoda Hospital & Research Centre

IIIrd M, Motilal Nehru Nagar Marg,
Near Nehru Stadium, Nehru Nagar,
Ghaziabad, Uttar Pradesh 201001

Name : Abhijay Singh Collected : 30/9/2022 10:26:00AM

Lab No. : 155266353 Age: 25 Years Gender: Male Reported : 1/10/2022 5:10:26PM
A/c Status : P Ref By : SELF Report Status : Final

Test Name Results Units Bio. Ref. Interval

Fever Advance Package

TYPHI DOT/ SALMONELLA TYPHI IgM Positive

(ICT)

Note
1. Low titre of IgM antibodies to S.typhi may persist for about 4 months post infection in endemic areas
2. All results to be clinically correlated

Comment
Accurate diagnosis of Typhoid fever at an early stage is not only important for etiological diagnosis, but also to
identify and treat potential carriers and prevent acute typhoid fever outbreaks. The conventional Widal test
detects antibodies to S.typhi in patient serum from the second week of onset of symptoms whereas early rising
antibodies predominantly IgM in nature detected by this assay serve as a marker for recent infection.

Detectable IgM response

-----------------------------------
|Onset of fever | Percent positive |
|----------------|------------------|
| 4-6 days | 43.5 |
|----------------|------------------|
| 6-9 days | 92.9 |
|----------------|------------------|
| >9 days | 99.5 |
-----------------------------------

DENGUE FEVER ANTIGEN, NS1, EIA, SERUM 1.19 Index <0.90

(ELISA)

Interpretation
------------------------------------------------------------------------------------------------
|RESULT IN INDEX | REMARKS |
|----------------|-------------------------------------------------------------------------------|
| Negative |No detectable Dengue NS1 antigen.The Result does not rule out Dengue infection.|
| (<0.90) |An additional sample should be tested for IgG & IgM serology in 7-14 days. |
|----------------|-------------------------------------------------------------------------------|
| Equivocal |Repeat sample after 1 week |
| (0.90 - 1.10) | |
|----------------|-------------------------------------------------------------------------------|
| Positive |Presence of detectable dengue NS1 antigen. Dengue IgG & IgM serology assay |
| (>1.10) |should be performed on follow up samples after 5-7 days of onset of fever,to |
| |confirm dengue infection. |
------------------------------------------------------------------------------------------------

Note: Recommended test is NS1 Antigen by ELISA in the first 5 days of fever. After 7-10 days of fever, the
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.

Yashoda Hospital & Research Centre

IIIrd M, Motilal Nehru Nagar Marg,
Near Nehru Stadium, Nehru Nagar,
Ghaziabad, Uttar Pradesh 201001

Name : Abhijay Singh Collected : 30/9/2022 10:26:00AM

Lab No. : 155266353 Age: 25 Years Gender: Male Reported : 1/10/2022 5:10:26PM
A/c Status : P Ref By : SELF Report Status : Final

Test Name Results Units Bio. Ref. Interval

recommended test is Dengue fever antibodies IgG & IgM by ELISA

Comments
Dengue viruses belong to the family Flaviviridae and have 4 subtypes (1-4). Dengue virus is transmitted by
the mosquito Aedes aegypti and Aedes albopictus, widely distributed in Tropical and Subtropical areas of the
world. Dengue is considered to be the most important arthropod borne viral disease due to the human
morbidity and mortality it causes. The disease may be subclinical, self limiting, febrile or may progress to a
severe form of Dengue hemorrhagic fever or Dengue shock syndrome

C-REACTIVE PROTEIN; CRP, SERUM 0.50 mg/L <5.00

(Immunoturbidimetry)

Comments
CRP is an acute phase reactant which is used in inflammatory disorders for monitoring course and effect of
therapy. It is most useful as an indicator of activity in Rheumatoid arthritis, Rheumatic fever, tissue injury or
necrosis and infections. As compared to ESR, CRP shows an earlier rise in inflammatory disorders which
begins in 4-6 hrs, the intensity of the rise being higher than ESR and the recovery being earlier than ESR.
Unlike ESR, CRP levels are not influenced by hematologic conditions like Anemia, Polycythemia etc.
CHIKUNGUNYA VIRUS ANTIBODY, IgM Positive
(ICT)

Note: 1. Negative result does not exclude the possibility of exposure to Chikungunya virus
2. False negative results are seen if IgM antibody is below the detectable limit or is absent during
the stage of the disease in which specimen has been collected.
3. All results to be clinically correlated
4. Test conducted on serum
Comments
Chikungunya is a viral infection transmitted by the bite of an infected Aedes aegypti mosquito. Symptoms are
very similar to those of Dengue fever, but unlike Dengue there is no hemorrhagic or shock syndrome. The
disease is characterized by rash, fever and severe joint pain (arthralgia). Laboratory diagnosis is critical to
establish the cause and initiate specific public health response.

The patient is advised to take proper medication and bed rest for the next 5 days and report back again to the clinic
for further monitoring of health conditions.

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