Chikungunya: Difference between revisions

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==Clinical Features==
==Clinical Features==
* [[Fever]] typically greater than 39deg
* [[Fever]] typically greater than 39deg
* [[Polyarthralgias]], bilateral and symmetrical
* Polyarthralgias, bilateral and symmetrical
* [[Rash]]- maculopapular
* [[Rash]]- maculopapular
* Myalgias
* Myalgias

Revision as of 00:40, 19 September 2014

Background

Mosquito transmitted virus, originally found in West Africa but cases in the Americas beginning in 2013

Clinical Features

  • Fever typically greater than 39deg
  • Polyarthralgias, bilateral and symmetrical
  • Rash- maculopapular
  • Myalgias
  • Nausea and vomiting
  • Lymphocytopenia
  • Elevated LFTs
  • AKI
  • 3-7d incubation period

Differential Diagnosis

  1. Dengue Fever: very similar features but Chikagunya more prominent arthralgias
  2. other infectious rashes

Workup

  • CBC w diff, Cr, LFTs
  • contact CDC for specialized testing; recommends tiger top tube

Management

Symptomatic treatment: acute symptoms usually resolve in 7-10d

Disposition

See Also

External Links

Sources

CDC