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Clinical Manifestations of Chikungunya Virus: Acute Disease 3-7 Days
Clinical Manifestations of Chikungunya Virus: Acute Disease 3-7 Days
Clinical Manifestations of Chikungunya Virus: Acute Disease 3-7 Days
MANIFESTATIONS OF
CHIKUNGUNYA VIRUS
Acute Disease 3-7 days
Atypical rare
ACUTE DISEASE
Presentation:
Abrupt onset of chills
Sudden onset high fever (40 ºC)
Nausea and vomiting
Headache
myalgia
Severe joint pain (polyarthralgia)- usually symmetric and bilateral in upper and lower
extremities
Maculopapular rash characterised by raised spotted lesions - occurs 2-5 days following
the fever; involves the trunk and extremities
In infants a diffuse erythema that blanches is present
These symptoms usually resolve within 7-10 days
Clinical Manifestations- Subacute
Disease
Presents 2-3 months following onset of illness with:
Distal polyarthritis
Exacerbation of pain in previously injured joints and bones
Hypertrophic tenosynovitis in wrists and ankles
Clinical Manifestations – Chronic Disease
Symptoms occurring for more than 3 months and may last for years. They are
inclusive of:
Inflammatory arthralgias in the same joints that were affected during the
acute stages
Destructive arthropathy/ arthritis resembling rheumatoid or psoriatic arthritis
The chronic phase is more common among the following at risk groups:
very young
Elderly
Immunocompromised
Clinical Manifestations- Atypical Disease