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Chikungunya Virus, Pediatric

David M. Vu, MD and A. Desiree LaBeaud, MD, MS Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Chikungunya virus (CHIKV) is an arthropod-borne virus (arbovirus) that causes a febrile illness (chikungunya fever) characterized by rash and arthralgia and arthritis of one or more ...

DIAGNOSIS

Most patients infected with CHIKV develop symptoms of fever and arthralgia. 

HISTORY

  • Travel to or residence in an area known to be experiencing an outbreak of CHIKV infection

  • Self-reported hist...

TREATMENT

GENERAL MEASURES

  • Treatments specifically for CHIKV infection are not available.

  • Therapy is generally supportive.

    • Anti-inflammatory agents

    • Rehydration

MEDICATION

First Line

Nonsteroidal anti-inflamm...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Follow-up symptomatic treatment of arthralgia, which can last for months to years

  • Closely follow neonates born to mothers who are viremic at delivery.

DIET

No specia...

ADDITIONAL READING

  • Burt FJ, Chen W, Miner JJ, et al. Chikungunya virus: an update on the biology and pathogenesis of this emerging pathogen. Lancet Infect Dis.  2017;17(4):e107–e117. [View Abstra...

CODES

ICD9

066.3 Other mosquito-borne fever 

ICD10

A92.0 Chikungunya virus disease 

SNOMED

111864006 Chikungunya fever 

FAQ

  • Q: What can I do to prevent chikungunya infection?

  • A: Wear clothing that protects arms and legs, and use insect repellant.

  • Q: In what areas of the world do I have to worry about chikungunya infectio...

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