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SupportWhen Should You Test for Chikungunya?

Chikungunya often begins like other mosquito-borne infections, with fever and body aches that can resemble dengue. But the timing of tests is key in making an accurate diagnosis. In our latest podcast, Dr. Roshni Jhan Ganguly explained to Dhruv Gupta, Co-founder of Orange Health Labs, how doctors approach testing and why joint pain plays an important role.
Watch the video here
How and When to Test for Chikungunya
Chikungunya is usually confirmed through an IgM antibody test or a PCR test. The IgM test becomes positive only after five days of infection, so testing too early may not provide accurate results. Because dengue and Chikungunya are spread by the same mosquito and share early symptoms, doctors often recommend a dengue test first. If dengue is ruled out and fever continues along with significant joint pain, a Chikungunya test after day five can help confirm the diagnosis.
Clinical Diagnosis and Early Care
Even before the five-day mark, doctors may strongly suspect Chikungunya based on the severity of joint pain, which is far more pronounced than in dengue. In such cases, supportive treatment is usually started right away, while waiting for the right time to perform the test.
Takeaway
Testing for Chikungunya depends on timing. While the IgM test is reliable only after five days, doctors often begin care earlier when the pattern of symptoms makes the diagnosis clear.
Dr. Ganguly explains more in Episode 10 of The Orange Club Podcast: The Truth About Monsoon Diseases: What Causes Malaria, Dengue & Chikungunya

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