Diagnostic markers for Viral diseases








Chicken pox
Chickenpox is usually diagnosed based upon a person's signs and symptoms. But testing for Varicella Zoster Virus or for the antibodies produced in response to infection may be performed in certain cases like in pregnant women, in newborns, in people prior to organ transplantation, and in those with HIV/AIDS. When someone is exposed to VZV, their immune system responds by producing antibodies to the virus. Two classes of VZV antibodies may be found in the blood: IgM (which is present in infected individual within weeks after initial exposure) and IgG (produced by the body several weeks after the initial VZV infection and provide long-term protection).
Chikungunya
Specific viral marker for chikungunya is Chick IgM. Clinical manifestation of chikungunya is difficult to differentiate with dengue hemorrhagic fever, thus need to do the specific IgM. Rapid assay shouldn’t be used before first week of infection as it is less sensitive in that period.
Dengue fever
Tests for dengue virus-specific antibodies, types IgG and IgM, are useful in confirming infection in later stages. Both IgG and IgM are produced after 5–7 days. It is easily detectable in early stages by Dengue NS1 antigen test.
Hepatitis B
Serological testing involves measurement of several hepatitis B virus (HBV)-specific c antigens and antibodies. Different serologic “markers” or combinations are used to identify different phases of HBV infection and to determine whether a patient has acute or chronic HBV infection
Hepatitis B surface antigen (HBsAg):
A protein on the surface of hepatitis B virus; it can be detected in high levels in serum during acute or chronic hepatitis B virus infection. The presence of HBsAg indicates that the person is infectious. The body normally produces antibodies to HBsAg as part of the normal immune response to infection.
Hepatitis B surface antibody (anti-HBs):
The presence of anti-HBs is generally interpreted as indicating recovery and immunity from hepatitis B virus infection. Anti-HBs also develops in a person who has been successfully vaccinated against hepatitis B.
Total hepatitis B core antibody (anti-HBc):
This appears at the onset of symptoms in acute hepatitis B and persists for life. The presence of anti-HBc indicates previous or ongoing infection with hepatitis B virus.
IgM antibody to hepatitis B core antigen (IgM anti-HBc)
Positivity indicates recent infection with hepatitis B virus (<6 mos). Its presence indicates acute infection.
Hepatitis C
Due to the fact that acute HCV infection is usually asymptomatic, early diagnosis of the HCV infection is rare. Usually the infection may remain undiagnosed, often until serious liver damage has developed. HCV infection is diagnosed by doing Screening for anti-HCV antibodies with a serological test.
Hepatitis A
Although fecal detection is possible in early stages, specific diagnosis is made by Hepatitis A specific IgM antibodies in blood. It is detectable in during acute infection and persists for 14 weeks.
Hand Mouth Foot Disease (HMFD):-
In certain case stool or throat swab is taken for culture.
Herpes zoster-
Similar to chickenpox herpes zoaster is diagnosed by VZV specific IgM antibody in blood
 Japanese Encephalitis
It is diagnosed by detection of IgM antibodies in serum and cerebrospinal fluid.
 Rubella
Rubella virus specific IgM antibodies along with characteristic rash confirms the diagnosis.
 HIV
Diagnosis is done by detection of HIV antibodies by ELISA method.  CD4 lymphocyte count is used for the prognosis of treatment.
 Poliomyelitis
Antibodies to polio virus detected in blood during early course of infection.