4333445492022-10-25T16 28 16.773
4333445492022-10-25T16 28 16.773
Test Report
Interpretation
------------------------------------------------------------------------------------------------
|RESULT(INDEX) |REMARKS |
|----------------|-------------------------------------------------------------------------------|
| Negative |No detectable Dengue NS1 antigen.The Result does not rule out Dengue infection.|
| (0.0-0.9) |An additional sample should be tested for IgG & IgM serology in 7-14 days. |
|----------------|-------------------------------------------------------------------------------|
| Equivocal |Repeat sample after 1 week |
| (0.9-1.1) | |
|----------------|-------------------------------------------------------------------------------|
| Positive |Presence of detectable dengue NS1 antigen. Dengue IgG & IgM serology assay |
| (>1.1) |should be performed on follow up samples after 5-7 days of onset of fever,to |
| |confirm dengue infection. |
------------------------------------------------------------------------------------------------
Note: Recommended test is NS1 Antigen by ELISA in the first 5 days of fever. After 7-10 days of fever, the
recommended test is Dengue fever antibodies IgG & IgM by ELISA
Comments
Dengue viruses belong to the family Flaviviridae and have 4 subtypes (1-4). Dengue virus is transmitted by the
mosquito Aedes aegypti and Aedes albopictus, widely distributed in Tropical and Subtropical areas of the
world. Dengue is considered to be the most important arthropod borne viral disease due to the human
morbidity and mortality it causes. The disease may be subclinical, self limiting, febrile or may progress to a
severe form of Dengue hemorrhagic fever or Dengue shock syndrome
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Test Report
Test Name Results Units Bio. Ref. Interval
Note
1. As per the recommendation of International council for Standardization in Hematology, the differential
leucocyte counts are additionally being reported as absolute numbers of each cell in per unit volume of
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Test Report
Test Name Results Units Bio. Ref. Interval
blood
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VITAMIN D, ULTRASENSITIVE
(LC-MS/MS)
Interpretation
-------------------------------------------------------------
| RESULT IN nmol/L | REMARKS |
|-------------------------|-----------------------------------|
| <50 | Severe Deficiency |
|-------------------------|-----------------------------------|
| 50-74 | Mild to Moderate Deficiency |
|-------------------------|-----------------------------------|
| 75-250 | Optimum level |
|-------------------------|-----------------------------------|
| >250 | Toxic level |
-------------------------------------------------------------
Note
1. Reference ranges represent clinical decision values and are established only for 25-Hydroxy Vitamin D,
Total.
2. Conventional Immunoassays may have sample-specific interferences that can lead to variable
performance. These interferences include other vitamin D metabolites (e.g. 24,25-dihydroxyvitamin D3,
3-epi 25 hydroxy vitamin D3) and certain lipid.
3. Physiologically inactive epimers of Vitamin D2 & D3 are separated chromatographically with Vitamin D
metabolites as they may result in overestimation of Total Active Vitamin D levels. This can create
therapeutic errors since patients who are deficient or insufficient may appear sufficient and toxicity may
be reported in patients with high normal levels.
Comments
Vitamin D Total levels are composed of two components namely 25-Hydroxy Vitamin D2 and 25-Hydroxy
Vitamin D3 both of which are converted into active forms. Vitamin D2 level corresponds with the exogenous
dietary intake of Vitamin D rich foods as well as supplements. Vitamin D3 level corresponds with endogenous
production as well as exogenous diet and supplements. This test is the preferred test for assessing vitamin D
status and most accurately reflects the body's vitamin D stores.
Decreased Levels
· Inadequate exposure to sunlight
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Test Report
Increased levels
Vitamin D intoxication
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