Evidence map›Paper›PMID 33706767›Full record

ArticleVirology journal2021

Assessment of dengue and COVID-19 antibody rapid diagnostic tests cross-reactivity in Indonesia.

Marsha S Santoso, Sri Masyeni, Sotianingsih Haryanto, Benediktus Yohan, Martin L Hibberd, R Tedjo Sasmono

Open access · goldAbstract read
In one paragraph

Article in Virology journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
8.6field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Prepandemic cross-reactive humoral immunity to SARS-CoV-2 in Africa: Systematic review and meta-analysis.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2023
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  4. False-positive dengue IgM inASM case reports · 2025
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  8. Performance of VIDASDiagnostics (Basel, Switzerland) · 2023
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  10. Capacitive immunosensor for COVID-19 diagnosis.Microelectronic engineering · 2023
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  11. Dengue amid COVID-19 pandemic.PLOS global public health · 2023
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  12. Antibodies as clinical tools for tuberculosis.Frontiers in immunology · 2023
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  13. Review
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  15. Dynamics of dengue and SARS-COV-2 co-infection in an endemic area of Colombia.Tropical diseases, travel medicine and vaccines · 2022
    Article
  16. Article
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  18. Coinfection and cross-reaction of dengue and COVID-19: a case series analysis.Revista da Sociedade Brasileira de Medicina Tropical · 2022
    Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Marsha S SantosoDengue Research Unit, Eijkman Institute for Molecular Biology, Ministry of Research and Technology/National Agency for Research and Innovation of the Republic Indonesia, Jl. Diponegoro 69, Jakarta, 10430, Indonesia.
Sri MasyeniDepartment of Internal Medicine, Faculty of Medicine and Health Sciences, Universitas Warmadewa, Denpasar, Bali, 80235, Indonesia.
Sotianingsih HaryantoRaden Mattaher Hospital, Jambi, 36361, Indonesia.
Benediktus YohanDengue Research Unit, Eijkman Institute for Molecular Biology, Ministry of Research and Technology/National Agency for Research and Innovation of the Republic Indonesia, Jl. Diponegoro 69, Jakarta, 10430, Indonesia.
Martin L HibberdDepartment of Pathogen Molecular Biology, London School of Hygiene and Tropical Medicine, London, WC1E 7HT, UK.
R Tedjo SasmonoDengue Research Unit, Eijkman Institute for Molecular Biology, Ministry of Research and Technology/National Agency for Research and Innovation of the Republic Indonesia, Jl. Diponegoro 69, Jakarta, 10430, Indonesia. sasmono@eijkman.go.id.ORCID 0000-0003-0986-2590
Eijkman Institute for Molecular Biology · IDUniversity of London · GBWarmadewa University · ID

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe coronavirus disease 2019 (COVID-19) pandemic remains ongoing around the world, including in areas where dengue is endemic. Dengue and COVID-19, to some extent, have similar clinical and laboratory features, which can lead to misdiagnosis, delayed treatment and patient's isolation. The use of rapid diagnostic tests (RDT) is easy and convenient for fast diagnosis, however there may be issues with cross-reactivity with antibodies for other pathogens.

methodsWe assessed the possibility of cross-reactivity between SARS-CoV-2 and dengue antibodies by: (1) testing five brands of COVID-19 IgG / IgM RDTs on 60 RT-PCR-confirmed dengue samples; (2) testing 95 RT-PCR-confirmed COVID-19 samples on dengue RDT; and (3) testing samples positive for COVID-19 IgG and/or IgM on dengue RDT.

resultsWe observed a high specificity across all five brands of COVID-19 RDTs, ranging from 98.3 to 100%. Out of the confirmed COVID-19 samples, one patient tested positive for dengue IgM only, another tested positive for dengue IgG only. One patient tested positive for dengue IgG, IgM, and NS1, suggesting a co-infection. In COVID-19 IgG and/or IgM samples, 6.3% of COVID-19 IgG-positive samples also tested positive for dengue IgG, while 21.1% of COVID-19 IgM-positive samples also tested positive for dengue IgG.

conclusionDespite the high specificity of the COVID-19 RDT, we observed cross-reactions and false-positive results between dengue and COVID-19. Dengue and COVID-19 co-infection was also found. Health practitioners in dengue endemic areas should be careful when using antibody RDT for the diagnosis of dengue during the COVID-19 pandemic to avoid misdiagnosis.

Indexed as

AdolescentAdultAntibodies, ViralChildCOVID-19Cross ReactionsDengueDengue VirusDiagnosis, DifferentialDiagnostic Tests, RoutineFalse Positive ReactionsFemaleHumansImmunoglobulin AImmunoglobulin GImmunoglobulin MAntibodies, ViralImmunoglobulin AImmunoglobulin GImmunoglobulin MViral Nonstructural ProteinsCOVID-19Cross-reactivityDengueIgGIgMRDTSpecificity

Identifiers

PMID33706767
PMCPMC7948652
OpenAlexW3134685225

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.