Chikungunya - an emerging infection in Bangladesh: a case series
Autor(es): Hassan Rashedul, Rahman Md Mujibur, Moniruzzaman Md, Rahim Abdur, Barua Satyajit, Biswas Rajib, Biswas Pijous, Mowla Syed Ghulam Mogni, Chowdhury Ma Jalil
Resumo: Chikungunya is an arthropod-borne virus endemic to Africa, Southeast Asia - India that causes acute febrile polyarthralgia - arthritis. In this short case series, we discuss six Bangladeshi patients with chikungunya fever. Though Bangladesh is in endemic zone, it is not common here, hence it dem-s attention for proper diagnosis - management. The six cases of chikungunya we report occurred in native Bangladeshi women with ages ranging from 20 to 50 years - all having a middle class family background. Three women had severe incapacitating arthralgia as well as a maculo-papular rash - a high fever. The other three had a high grade fever - arthralgia only, but no rash. They were tested for chikungunya immunoglobulin M antibody - found to be positive in all cases. They were treated symptomatically with non-steroidal anti-inflammatory drugs - found responsive in most cases. From this case series, it is evident that chikungunya is not that uncommon in Bangladesh. But the concomitant presence of other arthropod-borne infections with similar courses of illness makes most physicians less aware of this infection. An awareness - clinical knowledge are necessary to diagnose chikungunya infection properly.
Palavras-Chave: Chikungunya fever; Arthropod borne; Arthralgia; IgM antibody
Imprenta: Journal of Medical Case Reports, v. 8, p. 67, 2014
Identificador do objeto digital: 10.1186/1752-1947-8-67
Descritores: Chikungunya Virus - Virus ; Chikungunya virus - Chikungunya fever
Data de publicação: 2014
