Autor(es): Sebastian Meghna R, Lodha Rakesh, Kabra S K

Resumo: Chikungunya fever is caused by Chikungunya virus (CHIK) - spread by Aedes aegypti - Aedes albopictus. The median incubation period is 2 to 4 days. Vertical transmission of disease from mother to child has also been documented. Clinical manifestations are very variable, from asymptomatic illness to severe debilitating disease. Children are among the group at maximum risk for severe manifestations of the disease - some clinical features in this group are distinct from those seen in adults. Common clinical features include: abrupt onset high grade fever, skin rashes, minor hemorrhagic manifestations, arthralgia/ arthritis, lymphadenopathy, conjunctival injection, swelling of eyelids - pharyngitis. Unusual clinical features include: neurological manifestations including seizures, altered level of consciousness, blindness due to retrobulbar neuritis - acute flaccid paralysis. Watery stools may be seen in infants. Treatment is symptomatic. Generally non- steroidal anti-inflammatory drugs are avoided. Paracetamol may be used for pain - fever. However, NSAIDS may be required for relief of severe arthralgia during convalescent phase.

Palavras-Chave: Arthritis; Chikungunya; Viral hemorrhagic fever

Imprenta: The Indian Journal of Pediatrics, v. 76, n. 2, p. 185-189, 2009

Identificador do objeto digital: 10.1007/s12098-009-0049-6

Descritores: Chikungunya virus - Pathogenesis ; Chikungunya virus - Viral infections ; Chikungunya Virus - Virus ; Chikungunya virus - Transmission ; Chikungunya virus - Chikungunya fever ; Chikungunya virus - Epidemiology

Data de publicação: 2009

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