According to the World Health Organization, its panel detection score is > 95% for very low parasite density (50–100 parasites/μL).19 Its high performance was confirmed in Haiti in 2010.20 SD Bioline Dengue IgG/IgM showed a low diagnostic performance in some evaluation studies.21,22 However, none of the patients with CHIKV infection showed clinical manifestations suggestive of acute dengue fever at presentation or follow-up. Here, CD40LG is linked to dengue disease.