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Chikungunya: an emerging viral infection with varied clinical presentations in Bangladesh: Reports of seven cases

BACKGROUND: Chikungunya is an emerging and rapidly spreading viral infection in many parts of the world including Bangladesh. It shares many epidemiological and clinical characteristics with dengue. So, a sound knowledge is required for its detection and differentiation from dengue, specially in end...

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Autores principales: Rahim, Muhammad Abdur, Uddin, Khwaja Nazim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5558730/
https://www.ncbi.nlm.nih.gov/pubmed/28810894
http://dx.doi.org/10.1186/s13104-017-2723-5
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author Rahim, Muhammad Abdur
Uddin, Khwaja Nazim
author_facet Rahim, Muhammad Abdur
Uddin, Khwaja Nazim
author_sort Rahim, Muhammad Abdur
collection PubMed
description BACKGROUND: Chikungunya is an emerging and rapidly spreading viral infection in many parts of the world including Bangladesh. It shares many epidemiological and clinical characteristics with dengue. So, a sound knowledge is required for its detection and differentiation from dengue, specially in endemic regions. CASE PRESENTATION: We present seven confirmed cases of chikungunya having different clinical presentations occurring among middle aged males and females from different socio-economic background in Dhaka city, the capital of Bangladesh. All patients had fever and aches and pains. Less common features were rash, diarrhea, vomiting and altered liver biochemistry. Dengue was excluded in six patients. Paracetamol remained the mainstay of treatment during febrile periods, but over 50% of the patients had prolonged joint symptoms requiring non-steroidal anti-inflammatory drugs. CONCLUSIONS: In spite of being a self-limiting disease, chikungunya may have different presentations and a protracted clinical course. During the febrile episode, exclusion of dengue is equally important. Physicians should be aware of the condition and public health initiatives are necessary to break the disease transmission.
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spelling pubmed-55587302017-08-18 Chikungunya: an emerging viral infection with varied clinical presentations in Bangladesh: Reports of seven cases Rahim, Muhammad Abdur Uddin, Khwaja Nazim BMC Res Notes Case Report BACKGROUND: Chikungunya is an emerging and rapidly spreading viral infection in many parts of the world including Bangladesh. It shares many epidemiological and clinical characteristics with dengue. So, a sound knowledge is required for its detection and differentiation from dengue, specially in endemic regions. CASE PRESENTATION: We present seven confirmed cases of chikungunya having different clinical presentations occurring among middle aged males and females from different socio-economic background in Dhaka city, the capital of Bangladesh. All patients had fever and aches and pains. Less common features were rash, diarrhea, vomiting and altered liver biochemistry. Dengue was excluded in six patients. Paracetamol remained the mainstay of treatment during febrile periods, but over 50% of the patients had prolonged joint symptoms requiring non-steroidal anti-inflammatory drugs. CONCLUSIONS: In spite of being a self-limiting disease, chikungunya may have different presentations and a protracted clinical course. During the febrile episode, exclusion of dengue is equally important. Physicians should be aware of the condition and public health initiatives are necessary to break the disease transmission. BioMed Central 2017-08-15 /pmc/articles/PMC5558730/ /pubmed/28810894 http://dx.doi.org/10.1186/s13104-017-2723-5 Text en © The Author(s) 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Rahim, Muhammad Abdur
Uddin, Khwaja Nazim
Chikungunya: an emerging viral infection with varied clinical presentations in Bangladesh: Reports of seven cases
title Chikungunya: an emerging viral infection with varied clinical presentations in Bangladesh: Reports of seven cases
title_full Chikungunya: an emerging viral infection with varied clinical presentations in Bangladesh: Reports of seven cases
title_fullStr Chikungunya: an emerging viral infection with varied clinical presentations in Bangladesh: Reports of seven cases
title_full_unstemmed Chikungunya: an emerging viral infection with varied clinical presentations in Bangladesh: Reports of seven cases
title_short Chikungunya: an emerging viral infection with varied clinical presentations in Bangladesh: Reports of seven cases
title_sort chikungunya: an emerging viral infection with varied clinical presentations in bangladesh: reports of seven cases
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5558730/
https://www.ncbi.nlm.nih.gov/pubmed/28810894
http://dx.doi.org/10.1186/s13104-017-2723-5
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