Chikungunya Fever

Dongsheng Jiang, MS, MD and Joanna Jiang, MD Reviewed 04/2024

BASICS

Chikungunya is a potentially disabling and debilitating zoonotic disease.

DESCRIPTION

Chikungunya virus (CHIKV) is a single-stranded RNA virus (genus Alphavirus; family Togaviridae)
Transmitted b...

DIAGNOSIS

HISTORY

3 phases (3):
- Acute phase: <21 days of onset of symptoms
- Post-acute phase: 21 days to 3 months after the onset of symptoms
- Chronic phase: >3 months after infection
Asymptomatic: 15...

TREATMENT

GENERAL MEASURES

Acute phase: within 21 days of infection

Rest: suspend professional activities and joint immobilization
Hydration: discontinue diuretics
Icing
Take measures such as using insec...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Chikungunya fever is reportable. Notify state health officials of all suspected infections.

PROGNOSIS

Usually non-life threatening and most patients recover fully
J...

REFERENCES

Constant LEC, Rajsfus BF, Carneiro PH, et al. Overview on chikungunya virus infection: from epidemiology to state-of-the-art experimental models. Front Microbiol. 2021;12:744164. doi: 10.3...

CODES

ICD10

A92.0 Chikungunya virus disease

SNOMED

111864006 Chikungunya fever

CLINICAL PEARLS

Chikungunya is characterized by an abrupt onset of fever and is frequently accompanied by debilitating joint pain.
Obtain serologies and virology studies (RT-PCR) in the 1st week after ...

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