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Updated: Jul 5, 2026

Multiplexed Isothermal Amplification Based Diagnostic Platform to Detect Zika, Chikungunya, and Dengue 1
Published on: March 13, 2018
Clinical features and molecular diagnosis of Chikungunya fever from South India
Vemu Lakshmi1, Mamidi Neeraja, M V S Subbalaxmi
1Department of Microbiology, Nizam's Institute of Medical Sciences, Hyderabad, India. lgorthi@hotmail.com
Abstract:
An epidemic of Chikungunya fever of unprecedented magnitude occurred in many parts of India in early 2006 after an interval of 33 years, and there has been a resurgence in some parts of South India since June 2007. The article highlights clinical manifestations of infection and various molecular tests that were used for diagnoses of Chikungunya virus infection. Of particular interest is the real-time loop-mediated isothermal amplification (RT LAMP) assay, which is rapid and cost-effective and can be adopted at ill-equipped laboratories. Clinical symptoms were characterized by a triad of fever, rash, and severe rheumatic manifestations. RT LAMP identified 20 additional Chikungunya virus-positive cases, compared with reverse-transcriptase polymerase chain reaction. Chikungunya virus was isolated from 20 randomly selected samples. Genotyping of the virus isolates revealed that the East Central South African genotype of Chikungunya virus was the etiologic agent of this epidemic. Molecular diagnosis is an important tool to identify such new vectorborne viral illnesses.
Insights
Chikungunya fever re-emerged in India in 2006, causing severe rheumatic symptoms. A rapid, cost-effective molecular test, real-time loop-mediated isothermal amplification (RT LAMP), aided in diagnosing this vectorborne viral illness.
Area of Science:
- Virology
- Epidemiology
- Molecular Diagnostics
Background:
- Chikungunya fever, a vectorborne viral illness, resurged in India in 2006 after a 33-year absence.
- The epidemic was characterized by fever, rash, and severe rheumatic manifestations.
Purpose of the Study:
- To highlight the clinical features of Chikungunya virus infection.
- To evaluate molecular diagnostic methods for Chikungunya virus.
- To identify the etiological agent of the 2006 Indian epidemic.
Main Methods:
- Clinical observation of infected individuals.
- Molecular diagnostic techniques including reverse-transcriptase polymerase chain reaction (RT-PCR).
- Development and application of real-time loop-mediated isothermal amplification (RT LAMP) assay.
- Isolation and genotyping of Chikungunya virus from patient samples.
Main Results:
- The East Central South African genotype of Chikungunya virus was identified as the cause of the epidemic.
- RT LAMP detected 20 more positive cases than RT-PCR.
- RT LAMP proved to be a rapid, cost-effective diagnostic tool suitable for resource-limited settings.
Conclusions:
- Molecular diagnostics are crucial for identifying emerging vectorborne viral diseases like Chikungunya.
- RT LAMP offers a valuable alternative for rapid and accessible diagnosis of Chikungunya virus infection.
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