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

Chikungunya: an emerging viral infection with varied clinical presentations in Bangladesh: Reports of seven cases.
Author Information (click to view)

Rahim MA, Uddin KN,


Rahim MA, Uddin KN, (click to view)

Rahim MA, Uddin KN,

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BMC research notes 2017 08 1510(1) 410 doi 10.1186/s13104-017-2723-5
Abstract
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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