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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

1
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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