5 doctors weighed in:
Are any special tests to see if I have chikungunya after my recent trip?
5 doctors weighed in

Dr. Ralph Morgan Lewis
Family Medicine
3 doctors agree
In brief: 3 main lab tests
Virus isolation (the most definitive, but results may take 1-2 wks), recently reverse transcriptase polymerase chain reaction has been developed (results within 1-2 days), & elisa serological tests requiring both an acute phase serum & convalescent phase serum 10-14 d after ds onset.
Instructions for sending diagnostic specimens to cdc’s arbovirus diagnostic lab: —>see comment.

In brief: 3 main lab tests
Virus isolation (the most definitive, but results may take 1-2 wks), recently reverse transcriptase polymerase chain reaction has been developed (results within 1-2 days), & elisa serological tests requiring both an acute phase serum & convalescent phase serum 10-14 d after ds onset.
Instructions for sending diagnostic specimens to cdc’s arbovirus diagnostic lab: —>see comment.
Dr. Ralph Morgan Lewis
Dr. Ralph Morgan Lewis
Thank
1 comment
Dr. Ralph Morgan Lewis
http://www.cdc.gov/ncidod/dvbid/misc/specimen-submission.htm.
Dr. Marybeth Lambe
Travel Medicine
1 doctor agrees
In brief: Yes
Igm antibody levels highest 3- 5 weeks after onset of illness & persist for 2 months.
False positives occur with infection via related viruses, like o'nyong'nyong virus or semliki forest virus. Rt-pcr using nested primer pairs can amplify several chikungunya-specific genes from whole blood w/ results in 1-2 days but joint pain, conjunctivitis, insomnia, loss of taste often captures diagnosis too.

In brief: Yes
Igm antibody levels highest 3- 5 weeks after onset of illness & persist for 2 months.
False positives occur with infection via related viruses, like o'nyong'nyong virus or semliki forest virus. Rt-pcr using nested primer pairs can amplify several chikungunya-specific genes from whole blood w/ results in 1-2 days but joint pain, conjunctivitis, insomnia, loss of taste often captures diagnosis too.
Dr. Marybeth Lambe
Dr. Marybeth Lambe
Thank
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