Dear Sir,

We thank the authors for highlighting the finding of a fifth dengue serotype.(1) These findings are important for healthcare providers to monitor and adjust our clinical approaches appropriately.

In the meantime, clinical diagnosis continues to be our anchor in diagnosing dengue, while definitive tests are useful adjuncts for reducing clinical uncertainties.(2) Indeed, public health measures and vector control remain relevant cornerstone measures in this changing landscape.

Yours sincerely,

 
References
Cegolon L, Heymann WC, Lange JH. Comment on:Definitive tests for dengue fever:when and which should I use?. Singapore Med J. 2018;59:165.
Chan HBY, How CH, Ng CW. Definitive tests for dengue fever:when and which should I use?. Singapore Med J. 2017;58:632-5.