Evidence map›Paper›PMID 41111709›Full record

ArticleCureus2025

Insights Into the Seroprevalence, Clinical Spectrum, and Laboratory Features of Dengue and Chikungunya Mono-Infections vs. Co-infections During 2022-2023.

Ishan Mewara, Deepti Chaurasia, Garima Kapoor, Nagaraj Perumal, Harendra Pratap Singh Bundela, Simmi Dube, Ankita Agarwal

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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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

7 authors.

Ishan MewaraDepartment of Microbiology, Gandhi Medical College, Bhopal, IND.
Deepti ChaurasiaDepartment of Microbiology, Gandhi Medical College, Bhopal, IND.
Garima KapoorDepartment of Microbiology, Gandhi Medical College, Bhopal, IND.
Nagaraj PerumalState Virology Laboratory, Department of Microbiology, Gandhi Medical College, Bhopal, IND.
Harendra Pratap Singh BundelaState Virology Laboratory, Department of Microbiology, Gandhi Medical College, Bhopal, IND.
Simmi DubeDepartment of General Medicine, Gandhi Medical College, Bhopal, IND.
Ankita AgarwalState Virology Laboratory, Department of Microbiology, Gandhi Medical College, Bhopal, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Central India is hyperendemic for dengue and chikungunya virus infections, with yearly outbreaks being recorded. As these infections are clinically overlapping, co-infection of these viruses poses a diagnostic challenge. Therefore, it is imperative to identify them using serological or molecular tests. In this study, seroprevalence of dengue and chikungunya mono-infection as well as co-infections was estimated in suspected patients presented at our tertiary care center. Also, we compared the biochemical and other lab parameters of all the dengue and chikungunya mono-infected and co-infected IPD (Inpatient Department) patients. Methods A total of 3350 dengue and chikungunya suspected samples were recruited in this study. Sero-diagnosis of dengue was done using IgM MAC and NS-1 antigen enzyme-linked immunosorbent assay (ELISA), and chikungunya by IgM MAC ELISA. Further, we compared the demographic characteristics, temporal variations, clinical features, and biochemical parameters in patients with dengue and chikungunya mono-infection vs. co-infection. Results Seropositivity for dengue (DENV) and chikungunya (CHIKV) mono-infections was observed to be 23.86% (n=800) and 13.30% (n=444), respectively, while seropositivity for dengue and chikungunya co-infections was observed to be 6.55% (n=220). Leucopenia was significantly higher among the co-infected patients as compared to DENV and CHIKV mono-infected cases. Hypokalemia was significantly higher among the DENV patients and co-infected patients as compared to the CHIKV patients. Urea and creatinine levels were significantly elevated among the CHIKV patients as compared to DENV and co-infected patients. Conclusions Leucopenia and hypokalemia were found to be significantly high among the co-infected patients. Clinically suspected samples should be tested for both viruses, especially in the monsoon and post-monsoon seasons, as high sero-prevalence has been observed. Simultaneous diagnosis of these infections is required to diagnose dual infections and thus triage patients for monitoring and initiating supportive treatment to prevent fatal complications.

Indexed as

arbovirusescentral indiachikungunyaco-infectiondengueseroprevalence

Identifiers

PMID41111709
PMCPMC12528794

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