Could COVID-19 be misdiagnosed as Dengue Fever ?

Could COVID-19 be misdiagnosed as Dengue Fever ?

Covert COVID-19 and false-positive dengue serology in Singapore

Dengue and coronavirus disease 2019 (COVID-19) are difficult to distinguish because they have shared clinical and laboratory features.
We describe two patients in Singapore with false-positive results from rapid serological testing for dengue, who were later confirmed to have severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, the causative virus of COVID-19.
The first case is a 57-year-old man with no relevant past medical, travel, or contact history, who presented to a regional hospital on Feb 9, 2020, with 3 days of fever and cough. He had thrombocytopenia (platelet count 140 × 109/mL) and a normal chest radiograph. He was discharged after a negative rapid test for dengue NS1, IgM, and IgG (SD Bioline Dengue Duo Kit; Abbott, South Korea). He returned to a public primary health-care clinic with persistent fever, worsening thrombocytopenia (89 × 109/mL), and new onset lymphopenia (0·43 × 109/mL). A repeat dengue rapid test was positive for dengue IgM and IgG (Dengue Combo; Wells Bio, South Korea). He was referred to hospital for dengue with worsening cough and dyspnoea. A chest radiograph led to testing for SARS-CoV-2 by RT-PCR (in-house laboratory-developed test detecting the N and ORF1ab genes) from a nasopharyngeal swab, which returned positive. The original seropositive sample and additional urine and blood samples tested negative for dengue, chikungunya, and Zika viruses by RT-PCR,
and a repeat dengue rapid test (SD Bioline) was also negative. Thus, the initial dengue seroconversion result was deemed a false positive.
The second case is a 57-year-old woman with no relevant past medical, travel, or contact history, who presented to a regional hospital on Feb 13, 2020, with fever, myalgia, a mild cough of 4 days, and 2 days of diarrhoea. She had thrombocytopenia (92 × 109/mL) and tested positive for dengue IgM (SD Bioline). She was discharged with outpatient follow up for dengue fever. She returned 2 days later with a persistent fever, worsening thrombocytopenia (65 × 109/mL), and new onset lymphopenia (0·94 × 109/mL). Liver function tests were abnormal (aspartate aminotransferase 69 U/L [reference range 10–30 U/L], alanine aminotransferase 67 U/L [reference range <55 U/L], total bilirubin 35·8 μmol/L [reference range 4·7–23·2 μmol/L]). Chest radiography was normal and she was admitted for dengue fever. She remained febrile despite normalisation of her blood counts and developed dyspnoea 3 days after admission. She was found to be positive for SARS-CoV-2 by RT-PCR from a nasopharyngeal swab. A repeat dengue test (SD Bioline) was negative and an earlier blood sample also tested negative for dengue by RT-PCR.
The initial dengue IgM result was deemed to be a false positive.
Failing to consider COVID-19 because of a positive dengue rapid test result has serious implications not only for the patient but also for public health. Our cases highlight the importance of recognising false-positive dengue serology results (with different commercially available assays) in patients with COVID-19. We emphasise the urgent need for rapid, sensitive, and accessible diagnostic tests for SARS-CoV-2, which need to be highly accurate to protect public health.
Source: The Lancet

Sometimes you just have to ask yourself: WHAT ARE THE CHANCES OF THAT ? – #watcot

Support WATCOT.org

  • Bitcoin
  • Ethereum
  • Xrp
  • Bitcoin cash
  • Bitcoin sv
  • Litecoin
  • Tether
  • Eos
  • Binance coin
  • Tezos
  • Cardano
  • Dash
  • Nem
  • Monero
  • Stellar
  • Ethereum classic
  • Lisk
  • Tron
  • Neo
  • Vechain
  • Qtum
  • Omisego
  • Icon
  • Nano
  • Zcash
  • Ontology
Scan to Donate Bitcoin to bc1qgkhtgufrz6wsczamwkl0dwk0fa8uq45m2zr75l

Donate Bitcoin to this address

Scan the QR code or copy the address below into your wallet to send some Bitcoin

Scan to Donate Ethereum to 0x203E3D9Ad868699316bEac2D0F31F4236c002a3E

Donate Ethereum to this address

Scan the QR code or copy the address below into your wallet to send some Ethereum

Scan to Donate Xrp to rH79rmr7T66wm1ka4o9xDG4m1Nzi1QR8Y

Donate Xrp to this address

Scan the QR code or copy the address below into your wallet to send some Xrp

Scan to Donate Bitcoin cash to qr8lggv04m2f4ehfa2dr8fwcymuhnp6mvc7npefp2s

Donate Bitcoin cash to this address

Scan the QR code or copy the address below into your wallet to send some Bitcoin cash

Scan to Donate Bitcoin sv to 12aRp4BSe1uX9DjKtUEjXAQGJZzSzEsfjP

Donate Bitcoin sv to this address

Scan the QR code or copy the address below into your wallet to send some Bitcoin sv

Scan to Donate Litecoin to LgTyhWBmcMbzsJ9jUBsVNdTwiApyPRcbaV

Donate Litecoin to this address

Scan the QR code or copy the address below into your wallet to send some Litecoin

Scan to Donate Tether to 0x203E3D9Ad868699316bEac2D0F31F4236c002a3E

Donate Tether to this address

Scan the QR code or copy the address below into your wallet to send some Tether

Scan to Donate Eos to rH79rmr7T66wm1ka4o9xDG4m1Nzi1QR8Y

Donate Eos to this address

Scan the QR code or copy the address below into your wallet to send some Eos

Tag/Note:- XRP Adress
Scan to Donate Binance coin to bnb1rl86hrnk99jpnac8zas6lcy9sakh40q6037kn6

Donate Binance coin to this address

Scan the QR code or copy the address below into your wallet to send some Binance coin

Scan to Donate Tezos to tz1drWpwUFnXMCNk2fP41Tj2ejo5dpcbepno

Donate Tezos to this address

Scan the QR code or copy the address below into your wallet to send some Tezos

Scan to Donate Cardano to Ae2tdPwUPEZ6JE1RCBBCsKUHXoxaSzciykxBxn7M7mkEaC9k9A1Wjz4Mmiu

Donate Cardano to this address

Scan the QR code or copy the address below into your wallet to send some Cardano

Scan to Donate Dash to XnPa4jjZyj9oWLm2kpVq1EnAFzcEDJEmae

Donate Dash to this address

Scan the QR code or copy the address below into your wallet to send some Dash

Scan to Donate Nem to NDHYY5NBOAITXNWGJOEHHFLDNJROEF33Q4DGSMX6

Donate Nem to this address

Scan the QR code or copy the address below into your wallet to send some Nem

Scan to Donate Monero to 48tCYZezTBMSY4JhjqtpkjMnGK5YZmuFdHgFLLayn33H1TJ9MkbFN9gSxxpxN9okn15HHUcCpeAqE3e319fxYjipVghBr9R

Donate Monero to this address

Scan the QR code or copy the address below into your wallet to send some Monero

Scan to Donate Stellar to GA3PAAWGWN6NDEXI7TPEJMXXHBCGA77LDMBWSIVBVENFAYT2KF6BJCB5

Donate Stellar to this address

Scan the QR code or copy the address below into your wallet to send some Stellar

Scan to Donate Ethereum classic to 0x08BB2f0c85dB4cD298b397be87b65b0300230C10

Donate Ethereum classic to this address

Scan the QR code or copy the address below into your wallet to send some Ethereum classic

Scan to Donate Lisk to 4554698783447062922L

Donate Lisk to this address

Scan the QR code or copy the address below into your wallet to send some Lisk

Scan to Donate Tron to TEfQHuDBQs4uebJFGQxVE861KzMk4Go1nV

Donate Tron to this address

Scan the QR code or copy the address below into your wallet to send some Tron

Scan to Donate Neo to AS2XK5bXq8vM2uXUMvjFm5THP7SnmG7bLq

Donate Neo to this address

Scan the QR code or copy the address below into your wallet to send some Neo

Scan to Donate Vechain to 0x4c560ADb0dd96eF16ACC9b9974d4114472BE772a

Donate Vechain to this address

Scan the QR code or copy the address below into your wallet to send some Vechain

Scan to Donate Qtum to Qj7tBabQdbUbdKyoeytnehe9dddbzyRjbb

Donate Qtum to this address

Scan the QR code or copy the address below into your wallet to send some Qtum

Scan to Donate Omisego to 0x203E3D9Ad868699316bEac2D0F31F4236c002a3E

Donate Omisego to this address

Scan the QR code or copy the address below into your wallet to send some Omisego

Scan to Donate Icon to hxc90d401693c7244df9fc5f9b425b11dcbd17b385

Donate Icon to this address

Scan the QR code or copy the address below into your wallet to send some Icon

Scan to Donate Nano to nano_1kmmfcukewa53s66eeeh5reyfu9zyxrggchs1pug6grdk4jjsjp7h5m7mskc

Donate Nano to this address

Scan the QR code or copy the address below into your wallet to send some Nano

Scan to Donate Zcash to t1dsg9VUBKHB8yKoNhufFWnjafiqEt6GxgX

Donate Zcash to this address

Scan the QR code or copy the address below into your wallet to send some Zcash

Scan to Donate Ontology to AdkmjPehgcqDHDnjTtiwsgH1FkimViyfPS

Donate Ontology to this address

Scan the QR code or copy the address below into your wallet to send some Ontology

Categories

Somtimes you just have to ask youself.

WHAT ARE THE CHANCES OF THAT? - #watcot

All donations go to supporting the team and infrastructure that is needed in order to bring you the truth, all content has been verified. We will continue to bring you the evidence to allow you to make up your own minds and ask yourself. 

What are the chances of that? #WATCOT

  • Bitcoin
  • Ethereum
  • Xrp
  • Bitcoin cash
  • Bitcoin sv
  • Litecoin
  • Tether
  • Eos
  • Binance coin
  • Tezos
  • Cardano
  • Dash
  • Nem
  • Monero
  • Stellar
  • Ethereum classic
  • Lisk
  • Tron
  • Neo
  • Vechain
  • Qtum
  • Omisego
  • Icon
  • Nano
  • Zcash
  • Ontology
Scan to Donate Bitcoin to bc1qgkhtgufrz6wsczamwkl0dwk0fa8uq45m2zr75l

Donate Bitcoin to this address

Scan the QR code or copy the address below into your wallet to send some Bitcoin

Scan to Donate Ethereum to 0x203E3D9Ad868699316bEac2D0F31F4236c002a3E

Donate Ethereum to this address

Scan the QR code or copy the address below into your wallet to send some Ethereum

Scan to Donate Xrp to rH79rmr7T66wm1ka4o9xDG4m1Nzi1QR8Y

Donate Xrp to this address

Scan the QR code or copy the address below into your wallet to send some Xrp

Scan to Donate Bitcoin cash to qr8lggv04m2f4ehfa2dr8fwcymuhnp6mvc7npefp2s

Donate Bitcoin cash to this address

Scan the QR code or copy the address below into your wallet to send some Bitcoin cash

Scan to Donate Bitcoin sv to 12aRp4BSe1uX9DjKtUEjXAQGJZzSzEsfjP

Donate Bitcoin sv to this address

Scan the QR code or copy the address below into your wallet to send some Bitcoin sv

Scan to Donate Litecoin to LgTyhWBmcMbzsJ9jUBsVNdTwiApyPRcbaV

Donate Litecoin to this address

Scan the QR code or copy the address below into your wallet to send some Litecoin

Scan to Donate Tether to 0x203E3D9Ad868699316bEac2D0F31F4236c002a3E

Donate Tether to this address

Scan the QR code or copy the address below into your wallet to send some Tether

Scan to Donate Eos to rH79rmr7T66wm1ka4o9xDG4m1Nzi1QR8Y

Donate Eos to this address

Scan the QR code or copy the address below into your wallet to send some Eos

Tag/Note:- XRP Adress
Scan to Donate Binance coin to bnb1rl86hrnk99jpnac8zas6lcy9sakh40q6037kn6

Donate Binance coin to this address

Scan the QR code or copy the address below into your wallet to send some Binance coin

Scan to Donate Tezos to tz1drWpwUFnXMCNk2fP41Tj2ejo5dpcbepno

Donate Tezos to this address

Scan the QR code or copy the address below into your wallet to send some Tezos

Scan to Donate Cardano to Ae2tdPwUPEZ6JE1RCBBCsKUHXoxaSzciykxBxn7M7mkEaC9k9A1Wjz4Mmiu

Donate Cardano to this address

Scan the QR code or copy the address below into your wallet to send some Cardano

Scan to Donate Dash to XnPa4jjZyj9oWLm2kpVq1EnAFzcEDJEmae

Donate Dash to this address

Scan the QR code or copy the address below into your wallet to send some Dash

Scan to Donate Nem to NDHYY5NBOAITXNWGJOEHHFLDNJROEF33Q4DGSMX6

Donate Nem to this address

Scan the QR code or copy the address below into your wallet to send some Nem

Scan to Donate Monero to 48tCYZezTBMSY4JhjqtpkjMnGK5YZmuFdHgFLLayn33H1TJ9MkbFN9gSxxpxN9okn15HHUcCpeAqE3e319fxYjipVghBr9R

Donate Monero to this address

Scan the QR code or copy the address below into your wallet to send some Monero

Scan to Donate Stellar to GA3PAAWGWN6NDEXI7TPEJMXXHBCGA77LDMBWSIVBVENFAYT2KF6BJCB5

Donate Stellar to this address

Scan the QR code or copy the address below into your wallet to send some Stellar

Scan to Donate Ethereum classic to 0x08BB2f0c85dB4cD298b397be87b65b0300230C10

Donate Ethereum classic to this address

Scan the QR code or copy the address below into your wallet to send some Ethereum classic

Scan to Donate Lisk to 4554698783447062922L

Donate Lisk to this address

Scan the QR code or copy the address below into your wallet to send some Lisk

Scan to Donate Tron to TEfQHuDBQs4uebJFGQxVE861KzMk4Go1nV

Donate Tron to this address

Scan the QR code or copy the address below into your wallet to send some Tron

Scan to Donate Neo to AS2XK5bXq8vM2uXUMvjFm5THP7SnmG7bLq

Donate Neo to this address

Scan the QR code or copy the address below into your wallet to send some Neo

Scan to Donate Vechain to 0x4c560ADb0dd96eF16ACC9b9974d4114472BE772a

Donate Vechain to this address

Scan the QR code or copy the address below into your wallet to send some Vechain

Scan to Donate Qtum to Qj7tBabQdbUbdKyoeytnehe9dddbzyRjbb

Donate Qtum to this address

Scan the QR code or copy the address below into your wallet to send some Qtum

Scan to Donate Omisego to 0x203E3D9Ad868699316bEac2D0F31F4236c002a3E

Donate Omisego to this address

Scan the QR code or copy the address below into your wallet to send some Omisego

Scan to Donate Icon to hxc90d401693c7244df9fc5f9b425b11dcbd17b385

Donate Icon to this address

Scan the QR code or copy the address below into your wallet to send some Icon

Scan to Donate Nano to nano_1kmmfcukewa53s66eeeh5reyfu9zyxrggchs1pug6grdk4jjsjp7h5m7mskc

Donate Nano to this address

Scan the QR code or copy the address below into your wallet to send some Nano

Scan to Donate Zcash to t1dsg9VUBKHB8yKoNhufFWnjafiqEt6GxgX

Donate Zcash to this address

Scan the QR code or copy the address below into your wallet to send some Zcash

Scan to Donate Ontology to AdkmjPehgcqDHDnjTtiwsgH1FkimViyfPS

Donate Ontology to this address

Scan the QR code or copy the address below into your wallet to send some Ontology