Mein J

O'Grady K

Whelan PI

Merianos A

1998-06

In early April 1998, the Centre for Disease Control in Darwin was notified of a possible case of dengue which appeared to have been acquired in the Northern Territory. Because dengue is not endemic to the Northern Territory, locally acquired infection has significant public health implications, particularly for vector identification and control to limit the spread of infection. Dengue IgM serology was positive on two occasions, but the illness was eventually presumptively identified as Kokobera infection. This case illustrates the complexity of interpreting flavivirus serology. Determining the cause of infection requires consideration of the clinical illness, the incubation period, the laboratory results and vector presence. Waiting for confirmation of results, before the institution of the public health measures necessary for a true case of dengue, was ultimately justified in this case. This is a valid approach in the Northern Territory, but may not be applicable to areas of Australia with established vectors for dengue.

0725-3141

https://hdl.handle.net/10137/251

The Office of Health Protection in the Australian Government Department of Health and Ageing

Communicable Disease Intelligence

Vol. 22, No. 6

Insects

Mosquitoes

Dengue

Monitoring

Dengue or Kokobera? A case report from the Top End of the Northern Territory

Journal Article

Publication