Diagnosis and management of imported Chikungunya fever in Taiwan: A case report

Autor(es): Chang Ko, Hsieh Hsiao-Chen, Tsai Jih-Jin, Lin Wei-Ru, Lu Po-Liang, Chen Yen-Hsu


Resumo: Chikungunya virus, a mosquito-borne alphavirus, is endemic in Africa - Southeast Asia but is rarely reported in Taiwan. We report the case of a Taiwanese woman who developed Chikungunya fever, which was first diagnosed by a clinician rather than by fever screening at an airport. The woman presented with fever, maculopapular rash, - arthralgia, the triad for the disease, on the day she returned home after a trip to Malaysia. These symptoms are very similar to those of dengue fever, which is endemic in Southern Taiwan. Chikungunya infection was confirmed by reverse transcriptase-polymerase chain reaction - seroconversion on paired serum specimens. For approximately 40 years until 2006, no cases of Chikungunya fever had been found in Taiwan. Clinicians in Taiwan should consider Chikungunya fever as a possible diagnosis for a febrile patient with arthralgia, rash, - a history of travel to an endemic area, such as Africa or Southeast Asia.


Palavras-Chave: Chikungunya fever; Dengue fever; Taiwan


Imprenta: The Kaohsiung Journal of Medical Sciences, v. 26, n. 5, p. 256-260, 2010


Identificador do objeto digital: 10.1016/S1607-551X(10)70037-1


Descritores: Chikungunya virus - Pathogenesis ; Chikungunya virus - Viral infections ; Chikungunya virus - RT-PCR ; Chikungunya Virus - Virus ; Chikungunya virus - Chikungunya fever ; Chikungunya virus - Dengue ; Chikungunya virus - Rash maculopapular


Data de publicação: 2010